Organization
RED RIVER REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUVARNA P KULKARNI MASTERS (PHYSICAL THERAPIST)
(727) 724-6828
Entity
Organization
Contact information
Practice address
549 SKY HARBOR DRIVE,, CLEARWATER, FL 33759
(727) 724-6828
Mailing address
PO BOX 831, MADILL, OK 73446-0831
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT013762
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972695039
NURSING FACILITY
FL
Enumeration date
12/12/2012
Last updated
12/12/2012
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