Organization
SHANON RIVER HOLDINGS INC
Active
Other names
Shanon River Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
JILL A RUBIN P.T. (PRESIDENT)
(954) 600-9836
Entity
Organization
Contact information
Practice address
137 BIRCHMONT DR, DELAND, FL 32724-8851
(954) 600-9836
(386) 775-9835
Mailing address
137 BIRCHMONT DR, DELAND, FL 32724-8851
(954) 600-9836
(386) 775-9835
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT6160
FL
Other
Enumeration date
08/26/2009
Last updated
08/26/2009
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