# LAKE PLACID REHABILITATION INC

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

## Provider details

- **NPI number:** 1811361512
- **Authorized official:** LINDA S CRUSE DPT (OWNER)
- **Authorized official phone:** (863) 465-9991

## Contact information

- **Practice address:** 145 TOWER ST, LAKE PLACID, FL 33852-6836
- **Practice address phone:** (863) 465-9991
- **Practice address fax:** (863) 465-9906
- **Mailing address:** 145 TOWER ST, LAKE PLACID, FL 33852-6836
- **Mailing address phone:** (863) 465-9991
- **Mailing address fax:** (863) 465-9906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT19782 | FL | Yes |

## Other

- **Enumeration date:** 11/18/2015
- **Last updated:** 03/29/2016
