Organization
MEDICAL REHAB PRO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE ANTIONETTE THOMPSON MD (OWNER/PHYSICIAN)
(917) 751-4262
Entity
Organization
Contact information
Practice address
901 45TH STREET, REHAB ADMIN, WEST PALM BEACH, FL 33407
(855) 850-7032
(772) 223-8938
Mailing address
410 EVERNIA ST APT 511, WEST PALM BEACH, FL 33401-5436
(917) 751-4262
(772) 223-8938
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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