Organization
BLUE ANGEL REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REINIER LOPEZ (OWNER)
(786) 253-4870
Entity
Organization
Contact information
Practice address
2240 NE 42ND CIR, HOMESTEAD, FL 33033-6611
(786) 253-4870
Mailing address
2240 NE 42ND CIR, HOMESTEAD, FL 33033-6611
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/26/2017
Last updated
05/26/2017
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