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Organization
REHAB & THERAPY INC
Active
Organization
REHAB & THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER H FORMAN MSPT (PRESIDENT)
(561) 912-9580
Entity
Organization
Contact information
Practice address
1886 W HILLSBORO BLVD, DEERFIELD BEACH, FL 33442-1417
(954) 427-6606
(954) 427-9981
Mailing address
6860 NW 73RD ST, PARKLAND, FL 33067-3916
(561) 912-9580
(561) 912-9506
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19852
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y917S
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/12/2006
Last updated
04/16/2012
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