Organization
PHYSICAL OCCUPATIONAL AND SPORT REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESUS ALFONSO (PRESIDENT)
(786) 287-5041
Entity
Organization
Contact information
Practice address
1830 NW 7TH ST STE 201, MIAMI, FL 33125-3569
(786) 287-5041
Mailing address
1830 NW 7TH ST STE 201, MIAMI, FL 33125-3569
(786) 287-5041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23100
FL
Other
Enumeration date
12/16/2015
Last updated
12/16/2015
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