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Organization
MIAMIGRAND REHABILITATION
Active
Organization
MIAMIGRAND REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONIA ILERA (ADMINISTRATOR)
(308) 826-4004
Entity
Organization
Contact information
Practice address
6135 NW 167 ST, SUITE #E28A, MIAMI, FL 33015
(305) 826-4004
(305) 826-4477
Mailing address
6135 NW 167 ST, SUITE #E28A, MIAMI, FL 33015
(305) 826-4004
(305) 826-4477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891807400
—
FL
Enumeration date
06/17/2008
Last updated
06/17/2008
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