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Organization
NEW LIFE REHAB, INC.
Active
Organization
NEW LIFE REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH ANN HANSEN (ADMINISTRATOR)
(772) 569-1453
Entity
Organization
Contact information
Practice address
974 14TH LN, VERO BEACH, FL 32960-4734
(772) 569-1453
(772) 569-3421
Mailing address
974 14TH LN, VERO BEACH, FL 32960-4734
(772) 569-1453
(772) 569-3421
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y5257
PHYSICAL THERAPISTS B/C I
FL
Enumeration date
05/24/2006
Last updated
08/22/2020
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