Organization
RENEWAL REHABILITATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREG TODD PT, OCS, CSCS (CO-OWNER/PHYSICAL THERAPIST)
(813) 907-0430
Entity
Organization
Contact information
Practice address
613 S MAGNOLIA AVE, SUITE 2, TAMPA, FL 33606-2767
(813) 254-9475
Mailing address
613 S MAGNOLIA AVE, SUITE 2, TAMPA, FL 33606-2767
(813) 254-9475
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
AL4154
FL
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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