Organization
FUNCTIONAL REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NOSTER R VILLAMOR RPT (PHYSICAL THERAPIST)
(863) 441-1226
Entity
Organization
Contact information
Practice address
123 US 27 S, LAKE PLACID, FL 33852-7918
(863) 441-1226
(863) 465-7790
Mailing address
123 US 27 S, LAKE PLACID, FL 33852-7918
(863) 441-1226
(863) 465-7790
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT7249
FL
Other
Enumeration date
11/09/2009
Last updated
02/15/2013
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