Organization
AXIOM REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN P MOURA (MANAGING PARTNER)
(407) 388-8866
Entity
Organization
Contact information
Practice address
155 CRANES ROOST BLVD, SUITE 2090, ALTAMONTE SPRINGS, FL 32701-3468
(407) 388-8866
(407) 494-0644
Mailing address
155 CRANES ROOST BLVD, SUITE 2090, ALTAMONTE SPRINGS, FL 32701-3468
(407) 388-8866
(407) 494-0644
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
19593
FL
Other
Enumeration date
11/02/2016
Last updated
11/02/2016
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