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Organization
QUALITY PERFORMANCE REHABILITATION, INC
Active
Organization
QUALITY PERFORMANCE REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R FISCHER DPT (CLINICAL DIRECTOR)
(772) 873-8980
Entity
Organization
Contact information
Practice address
441 NW PRIMA VISTA BLVD., PORT ST. LUCIE, FL 34983
(772) 873-8980
(772) 873-8981
Mailing address
441 NW PRIMA VISTA BLVD., PORT ST. LUCIE, FL 34983
(772) 873-8980
(772) 873-8981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
FL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y9172
BCBS GROUP
FL
Enumeration date
07/11/2006
Last updated
07/19/2016
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