Organization
FIDELITY REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE LUBANGA (CEO)
(813) 389-8463
Entity
Organization
Contact information
Practice address
14030 TROUVILLE DR, TAMPA, FL 33624-6970
(813) 389-8463
Mailing address
PO BOX 272873, TAMPA, FL 33688-2873
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 5449
FL
Other
Enumeration date
05/25/2011
Last updated
05/25/2011
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