Organization
LIBERAL INTENSIVE REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS MENDES MA63008 (OWNER/MANAGER)
(786) 300-7706
Entity
Organization
Contact information
Practice address
105 WILSON ST, LIBERAL, KS 67901-4053
(786) 300-7706
Mailing address
105 WILSON ST, LIBERAL, KS 67901-4053
(786) 300-7706
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
MA63008
FL
Other
Enumeration date
11/06/2012
Last updated
11/06/2012
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