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Organization
REHAB DIRECT
Active
Organization
REHAB DIRECT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOEL NOSSE OT (OCCUPATIONAL THERAPIST OWNER)
(904) 525-0635
Entity
Organization
Contact information
Practice address
470 SPARROW BRANCH CIR, JACKSONVILLE, FL 32259-5488
(904) 525-0635
(904) 287-2492
Mailing address
470 SPARROW BRANCH CIR, JACKSONVILLE, FL 32259-5488
(904) 525-0635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
OT11540
FL
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889819700
—
FL
Enumeration date
04/05/2007
Last updated
07/23/2009
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