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Organization
LIFE SPAN REHAB CORP
Active
Organization
LIFE SPAN REHAB CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA LIZ CAMARA (PRESIDENT & ADMINISTRATOR LIFE SPAN)
(813) 871-5882
Entity
Organization
Contact information
Practice address
4710 N HABANA AVE, SUITE 301, TAMPA, FL 33614
(813) 871-5882
(813) 871-5884
Mailing address
PO BOX 161, BRANDON, FL 33509-0161
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
HCC3748
FL
Other
Enumeration date
09/20/2006
Last updated
06/24/2010
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