Organization
CHARRIS REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE D CHARRIS PT (PRESIDENT)
(954) 641-9507
Entity
Organization
Contact information
Practice address
12105 TAFT ST, PEMBROKE PINES, FL 33026-1957
(954) 641-9507
(954) 367-1603
Mailing address
12105 TAFT ST, PEMBROKE PINES, FL 33026-1957
(954) 641-9507
(954) 367-1603
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K5135
MEDICARE -PROVIDER SENDER
—
Enumeration date
11/16/2006
Last updated
09/25/2007
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