Organization
SHINE REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROWENA CABADING MERCADO PT (VICE PRESIDENT)
(941) 625-1252
Entity
Organization
Contact information
Practice address
2301 TAMIAMI TRL, SUITE C, PORT CHARLOTTE, FL 33952-3907
(941) 625-1252
(941) 625-0616
Mailing address
2301 TAMIAMI TRAIL, SUITE C, PORT CHARLOTTE, FL 33952
(941) 625-1252
(941) 625-0616
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT10614
FL
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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