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Organization
MEDICAL & SPORTS REHABILITATION CENTER INC
Active
Organization
MEDICAL & SPORTS REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH YURKOVAC (MANAGER)
(239) 261-0291
Entity
Organization
Contact information
Practice address
661 GOODLETTE RD N, STE 101, NAPLES, FL 34102-5609
(239) 261-4592
(239) 261-0716
Mailing address
689 TAMIAMI TRL N, STE E, NAPLES, FL 34102-8100
(239) 261-0291
(239) 261-0678
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225X00000X
Occupational Therapist
—
—
225XH1200X
Hand Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OT6930
OT LICENSE NUMBER
FL
01
—
OT8618
OT LICENSE NUMBER
FL
01
—
OT9990
OT LICENSE NUMBER
FL
01
—
PT0001402
PT LICENSE NUMBER
FL
01
—
PT0004535
PT LICENSE NUMBER
FL
01
—
PT21393
PT LICENSE NUMBER
FL
01
—
R32
BCBS PROVIDER NUMBER
FL
Enumeration date
05/22/2006
Last updated
03/19/2008
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