Organization
IPA INTEGRATED REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN C FREDRICK (PRESIDENT)
(850) 784-0320
Entity
Organization
Contact information
Practice address
2315 RUTH HENTZ AVE, PANAMA CITY, FL 32405-2260
(850) 784-0320
(850) 784-3661
Mailing address
2315 RUTH HENTZ AVE, PANAMA CITY, FL 32405-2260
(850) 784-0320
(850) 784-3661
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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