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Organization
INTEGRATED MEDICAL REHABILITATION OF FL, LLC
Active
Organization
INTEGRATED MEDICAL REHABILITATION OF FL, LLC
Active
Other names
Integrated Medical Rehab and Testing
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE B. LISCH (PRESIDENT/MANAGING MEMBER)
(941) 447-8219
Entity
Organization
Contact information
Practice address
3924 9TH AVE W, BRADENTON, FL 34205-1704
(941) 447-8219
(941) 747-1461
Mailing address
3924 9TH AVE W, BRADENTON, FL 34205-1704
(941) 447-8219
(941) 747-1461
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/17/2006
Last updated
08/22/2020
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