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Organization
PROREHAB MANAGEMENT LLC
Active
Organization
PROREHAB MANAGEMENT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW SEGOTIER P.T. (MANAGER)
(813) 766-9135
Entity
Organization
Contact information
Practice address
4313 W NORTH A ST APT 2, TAMPA, FL 33609-2135
(813) 766-9135
Mailing address
4313 W NORTH A ST. #2, TAMPA, FL 33609
(813) 766-9135
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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