Organization
CKC RREHABILITATION CORP
Active
Organization
CKC RREHABILITATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSAURA ESPITIA-MUNOZ PT, DPT, GCS. (PRESIDENT)
(305) 793-2069
Entity
Organization
Contact information
Practice address
92 NE 139TH ST, MIAMI, FL 33161-2756
(305) 793-2069
(305) 685-5911
Mailing address
92 NE 139TH ST, MIAMI, FL 33161-2756
(305) 793-2069
(305) 685-5911
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 12700
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1457443541
INDIVIDUAL NPI
—
05
—
1457443541
—
FL
01
—
PT12700
PHYSICAL THERAPY LICENSE
FL
Enumeration date
05/11/2007
Last updated
11/15/2007
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