Organization
RAJ PHYSICAL REHABILITATION CENTER,P.A.
Active
Other names
RAJ REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
NAGARAJA TIRUVALAM PT (PRESIDENT)
(561) 499-3041
Entity
Organization
Contact information
Practice address
6200 W ATLANTIC AVE, #201, DELRAY BEACH, FL 33484-3501
(561) 499-3041
(561) 499-3042
Mailing address
6200 W ATLANTIC AVE, #201, DELRAY BEACH, FL 33484-3501
(561) 499-3041
(561) 499-3042
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6697451
GHI
FL
01
—
Y923C
BLUE CROSS BLUE SHIELD
FL
Enumeration date
10/03/2005
Last updated
01/20/2011
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