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Organization
PREMIER REHABILITATION PLLC
Active
Organization
PREMIER REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACEY MCMONAGLE MED, CCC-SLP (OWNER)
(678) 469-5003
Entity
Organization
Contact information
Practice address
5121 MICHIGAN AVE, SANFORD, FL 32771-8574
(678) 469-5003
Mailing address
755 MONROE RD UNIT 470738, LAKE MONROE, FL 32747-7525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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