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Organization
SUPERIOR CARE REHAB LLC
Active
Organization
SUPERIOR CARE REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANALYN ESCOBER DIAZ PT (OWNER/PT)
(239) 572-4779
Entity
Organization
Contact information
Practice address
400 8TH ST N, NAPLES, FL 34102-5519
(239) 529-3733
(239) 529-3627
Mailing address
1065 DIANA AVE, NAPLES, FL 34103-4845
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14774
FL
225200000X
Physical Therapy Assistant
24303
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144536756
INDIVIDUAL NPI
FL
Enumeration date
02/25/2017
Last updated
02/25/2017
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