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Organization
PAIN & REHAB CENTER INC
Active
Organization
PAIN & REHAB CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA T YUVIENCO RPT (PRESIDENT)
(239) 645-6295
Entity
Organization
Contact information
Practice address
21301 S TAMIAMI TRL STE 130, ESTERO, FL 33928-2943
(239) 947-5616
(239) 947-9606
Mailing address
PO BOX 60051, FORT MYERS, FL 33906-6051
(239) 645-6295
(239) 549-5574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 7247
FL
Other
Enumeration date
04/11/2007
Last updated
12/13/2007
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