Organization
CORA REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE OVERLOCK PTA (CLINIC MANAGER)
(863) 294-0350
Entity
Organization
Contact information
Practice address
1601 6TH ST SE, SUITE B, WINTER HAVEN, FL 33880-4605
(863) 294-0350
Mailing address
1601 6TH ST SE, SUITE B, WINTER HAVEN, FL 33880-4605
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA26014
FL
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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