Organization
PROFESSIONAL PHYSICAL REHABILITATION CENTER CORP
Active
Organization
PROFESSIONAL PHYSICAL REHABILITATION CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL A QUINTANA LMT (PRESIDENT)
(305) 979-6178
Entity
Organization
Contact information
Practice address
2500 SW 107TH AVE, 44, MIAMI, FL 33165-2470
(305) 979-6178
Mailing address
2500 SW 107TH AVE, 44, MIAMI, FL 33165-2470
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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