Organization
ABLEHEARTS REHABILITATION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RISTY SMITH OTR/L, CHC (PRESIDENT)
(813) 285-2802
Entity
Organization
Contact information
Practice address
17400 KEDZIE AVE, HAZEL CREST, IL 60429-1600
(618) 780-3256
Mailing address
4042 PARK OAKS BLVD STE 300, TAMPA, FL 33610-9539
(813) 635-9500
(732) 285-4912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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