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Organization

QUALITY PAIN REHAB LLC

Active
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Organization

QUALITY PAIN REHAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANALYN ESCOBER DE LEON PHYSICAL THERAPIST (OWNER)
(239) 572-4779
Entity
Organization

Contact information

Practice address
501 GOODLETTE FRANK RD STE A100, NAPLES, FL 34102
(239) 572-4779
Mailing address
1065 DIANA AVE, NAPLES, FL 34103-4845
(239) 572-4779

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1144536756
MEDICARE B
FL
Enumeration date
08/17/2018
Last updated
08/21/2018
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