# POLK REHABILITATION INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740374073
- **Authorized official:** MR. PETER G KALOGRIDIS M.P.T. (PHYSICAL THERAPIST/OWNER)
- **Authorized official phone:** (863) 679-3545

## Contact information

- **Practice address:** 1326 STATE ROAD 60 E STE 200, LAKE WALES, FL 33853-4322
- **Practice address phone:** (863) 679-3545
- **Practice address fax:** (863) 679-3924
- **Mailing address:** 1326 STATE ROAD 60 E STE 200, LAKE WALES, FL 33853-4322
- **Mailing address phone:** (863) 679-3545
- **Mailing address fax:** (863) 679-3924

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225400000X | Rehabilitation Practitioner | PT14814 | FL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020