Organization
BROAD RIVER REHABILITATION
Active
Other names
Broad River Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE HASSEN (CREDENTIALING SPECIALIST)
(828) 774-5222
Entity
Organization
Contact information
Practice address
48 OSPREY VILLAGE DR, FERNANDINA BEACH, FL 32034-4955
(904) 440-0175
Mailing address
1 POND ST, ARDEN, NC 28704-8500
(828) 774-5222
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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