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Organization
LIFESPAN REHABILITATION, LLC
Active
Organization
LIFESPAN REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RICHARDS JR. (MANAGER/OCCUPATIONAL THERAPIST)
(772) 643-2939
Entity
Organization
Contact information
Practice address
5083 4TH LN, VERO BEACH, FL 32968-1865
(772) 643-2939
Mailing address
5083 4TH LN, VERO BEACH, FL 32968-1865
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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