Organization
ULTIMA REHAB-FL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD AUSTIN DUUS (CFO)
(609) 509-2388
Entity
Organization
Contact information
Practice address
390 PONDELLA RD STE 9, NORTH FORT MYERS, FL 33903-4340
(609) 509-2388
Mailing address
132 PEARLCROFT RD, CHERRY HILL, NJ 08034-3334
(609) 509-2388
(267) 790-0402
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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