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Organization
EVOLUTION REHAB, LLC
Active
Organization
EVOLUTION REHAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATIANA PES PT (MEMBER)
(561) 891-6911
Entity
Organization
Contact information
Practice address
21839 HIGH PINE TRL, BOCA RATON, FL 33428-3049
(561) 891-6011
Mailing address
21839 HIGH PINE TRL, BOCA RATON, FL 33428-3049
(561) 891-6911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
01/19/2019
Last updated
07/03/2020
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