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Organization

REBOUND REHABILITATIVE SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEMANT D. PATEL PT (PRESIDENT)
(904) 824-1636
Entity
Organization

Contact information

Practice address
105 SOUTHPARK BLVD., SUITE B201, ST. AUGUSTINE, FL 32086
(904) 824-1636
(904) 824-7488
Mailing address
105 SOUTHPARK BLVD., SUITE B201, ST. AUGUSTINE, FL 32086
(904) 824-1636
(904) 824-7488

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106714
MEDICARE PTAN
FL
01
Q81
BCBS OF FL
FL
Enumeration date
04/27/2006
Last updated
05/26/2020
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