Organization
PREMIER THERAPY AND REHABILITATION GROUP INC
Active
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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