Organization
LIGHT REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINOD THAKAR R.P.T. (OWNER/PHYSICAL THERAPIST)
(954) 257-7919
Entity
Organization
Contact information
Practice address
7225 N UNIVERSITY DR, SUITE 201, TAMARAC, FL 33321-2908
(954) 724-3031
(954) 963-7169
Mailing address
11302 SW 55TH ST, COOPER CITY, FL 33330-4503
(954) 257-7919
(954) 963-7169
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT3616
FL
Other
Enumeration date
03/03/2012
Last updated
03/03/2012
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