Organization
CENTERLIFE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY RENNA OTR (OWNER)
(352) 502-6513
Entity
Organization
Contact information
Practice address
4904 NE 123RD LN, OXFORD, FL 34484-9630
(352) 502-6513
Mailing address
4904 NE 123RD LN, OXFORD, FL 34484-9630
(352) 502-6513
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2019
Last updated
11/22/2019
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