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Organization
LIFESPAN REHABILITATION LLC
Active
Organization
LIFESPAN REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY E RICHARDS JR. OTR (OCCUPATIONAL THERAPIST/MANAGER)
(772) 643-2939
Entity
Organization
Contact information
Practice address
5083 4TH LN, VERO BEACH, FL 32968-1865
(772) 643-2939
Mailing address
5083 4TH LN, VERO BEACH, FL 32968-1865
(772) 643-2939
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
11964
FL
Other
Enumeration date
02/03/2010
Last updated
09/09/2010
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