Organization
GENERATIONS REHAB SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCY PIERRE-DESTIN PT (OWNER/DIRECTOR)
(954) 305-5001
Entity
Organization
Contact information
Practice address
10031 PINES BLVD STE 216, PEMBROKE PINES, FL 33024-6169
(954) 305-5001
(954) 391-9736
Mailing address
2380 BAYBERRY DR, PEMBROKE PINES, FL 33024-3025
(954) 305-5001
(954) 391-9736
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115425900
—
FL
Enumeration date
07/23/2019
Last updated
09/03/2022
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