Organization
BUSCH REHABILITATION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIAN ROLO ULLOA (PRESIDENT)
(813) 777-8436
Entity
Organization
Contact information
Practice address
2529 W BUSCH BLVD STE 900, TAMPA, FL 33618-4524
(813) 512-7157
Mailing address
2529 W BUSCH BLVD STE 900, TAMPA, FL 33618-4524
(813) 512-7157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/29/2018
Last updated
11/29/2018
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