Organization
THE DIVINE CHILD REHAB INC
Active
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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