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Organization

PREMIER THERAPY AND REHABILITATION GROUP INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
INGRISS TRAVIESO LMT (PRESIDENT)
(786) 691-3708
Entity
Organization

Contact information

Practice address
2100 W 76TH ST, SUITE 209, HIALEAH, FL 33016-5539
(786) 691-3708
(305) 671-3306
Mailing address
2100 W 76TH ST, SUITE 209, HIALEAH, FL 33016-5539
(786) 691-3708
(305) 671-3306

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
MM27332
FL

Other

Enumeration date
07/28/2011
Last updated
07/28/2011
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