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Organization
QUALITY PERFORMANCE REHABILITATION, INC.
Active
Organization
QUALITY PERFORMANCE REHABILITATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS RAYMOND FISCHER PT (V.P., OWNER)
(772) 873-8980
Entity
Organization
Contact information
Practice address
441 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL 34983
(772) 873-8980
(772) 873-8981
Mailing address
441 NW PRIMA VISTA BLVD., PORT ST LUCIE, FL 34983
(772) 873-8980
(772) 873-8981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889016100
—
FL
01
—
Y917Z
BCBS GROUP
FL
Enumeration date
03/15/2007
Last updated
10/09/2012
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