Organization
FAMILY REHAB CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FLORA CORREIA (CEO)
(598) 260-4227
Entity
Organization
Contact information
Practice address
231 MAIN ST STE 103, BROCKTON, MA 02301-4342
(508) 587-0404
(508) 587-0458
Mailing address
231 MAIN ST STE 103, BROCKTON, MA 02301-4342
(508) 587-0404
(508) 587-0458
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
204
MA
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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