Organization
PROFESSIONAL TECHNICIAN REHABILITATION CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACIELA RICARDO (PRESIDENT)
(305) 642-0708
Entity
Organization
Contact information
Practice address
42 NW 27TH AVE, SUITE 323, MIAMI, FL 33125-5127
(305) 642-0708
(305) 642-6989
Mailing address
42 NW 27TH AVE, SUITE 323, MIAMI, FL 33125-5127
(305) 642-0708
(305) 642-6989
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
FL
Other
Enumeration date
07/18/2006
Last updated
08/22/2020
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