Organization
THE DIVINE CHILD REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEY JOSE ROJAS MSPT (OWNER)
(561) 856-2809
Entity
Organization
Contact information
Practice address
3900 WOODLAKE BLVD, SUITE 301 A, GREENACRES, FL 33463-3044
(561) 641-6740
(561) 641-6739
Mailing address
6365 SQUIREWOOD WAY, LAKE WORTH, FL 33467
(561) 641-6740
(561) 641-6739
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT21900
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT21900
PHYSICAL THERAPIST FL LIC
FL
Enumeration date
12/27/2006
Last updated
01/10/2011
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