# KG THERAPEUTIC SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** WELL CARE REHABILITATION CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699279984
- **Authorized official:** MARGARET GIVENTER (OFFICE MANAGER)
- **Authorized official phone:** (954) 816-9586

## Contact information

- **Practice address:** 5520 SW 3RD ST, PLANTATION, FL 33317-3582
- **Practice address phone:** (954) 440-2696
- **Mailing address:** 5520 SW 3RD ST, PLANTATION, FL 33317-3582
- **Mailing address phone:** (954) 440-2696

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/21/2018
- **Last updated:** 03/21/2018