# HOLISTIC REHAB LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467236943
- **Authorized official:** LYNETTE RIOS RODRIGUEZ (SOLE MBR)
- **Authorized official phone:** (787) 637-4897

## Contact information

- **Practice address:** 20 CALLE 5 BLOQUE C, ESTANCIAS DE SAN FERNANDO, CAROLINA, PR 00985
- **Practice address phone:** (787) 637-4897
- **Mailing address:** 1299 W BOSH APT 906, TERRAZAS SAN JUAN, SAN JUAN, PR 00924-4668
- **Mailing address phone:** (787) 637-4897

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 08/24/2023
- **Last updated:** 08/24/2023