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Organization
LEADING EDGE REHABILITATION INC.
Active
Organization
LEADING EDGE REHABILITATION INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD A MAURO PT (PRESIDENT)
(813) 597-8985
Entity
Organization
Contact information
Practice address
3707 VILLAMORE LN, ODESSA, FL 33556-4196
(813) 597-8985
Mailing address
3707 VILLAMORE LN, ODESSA, FL 33556-4196
(813) 597-8985
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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