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Organization
IDEAL REHABILITATION CENTER INC
Active
Organization
IDEAL REHABILITATION CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIRENIA MESA LMT (PRESIDENT)
(305) 569-0266
Entity
Organization
Contact information
Practice address
3971 SW 8TH ST, STE 202, CORAL GABLES, FL 33134-2937
(305) 569-0266
(305) 569-0267
Mailing address
3971 SW 8TH ST, STE 202, CORAL GABLES, FL 33134-2937
(305) 569-0266
(305) 569-0267
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225700000X
Massage Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Enumeration date
04/29/2011
Last updated
06/15/2011
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