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Organization

REHAB KINETICS INC

Active
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Organization

REHAB KINETICS INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NANCY ILAGAN RPT (OWNER)
(352) 592-0010
Entity
Organization

Contact information

Practice address
11535 CORTEZ BLVD, BROOKSVILLE, FL 34613-7373
(352) 592-0010
(352) 592-0011
Mailing address
11535 CORTEZ BLVD, BROOKSVILLE, FL 34613-7373
(352) 592-0010
(352) 592-0011

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0010736
FL
225100000X
Physical Therapist
PT13514
FL
225100000X
Physical Therapist
PT21267
FL
225200000X
Physical Therapy Assistant
PTA1172
FL
225200000X
Physical Therapy Assistant
PTA19025
FL
225200000X
Physical Therapy Assistant
PTA20103
FL
235Z00000X
Speech-Language Pathologist
SA3137
FL
235Z00000X
Speech-Language Pathologist
SA3275
FL
235Z00000X
Speech-Language Pathologist
SA3315
FL
235Z00000X
Speech-Language Pathologist
SA556
FL
235Z00000X
Speech-Language Pathologist
SA8079
FL
235Z00000X
Speech-Language Pathologist
SZ2535
FL
235Z00000X
Speech-Language Pathologist
SZ3883
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886048300
—
FL
01
—
QS4
BCBS GROUP NUMBER
FL
Enumeration date
01/11/2007
Last updated
01/28/2008
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