Organization
INNOVATIVE REHAB CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT G LISSON OTR (OWNER OCCUPATIONAL THERAPIST)
(850) 219-7826
Entity
Organization
Contact information
Practice address
2286-1 WEDNESDAY STREET, INNOVATIVE REHAB CARE, TALLAHASSEE, FL 32308
(850) 219-7826
(850) 383-1322
Mailing address
2286-1 WEDNESDAY STREET, INNOVATIVE REHAB CARE, TALLAHASSEE, FL 32308
(850) 219-7826
(850) 383-1322
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
OT8395
FL
225700000X
Massage Therapist
OT8395
FL
225X00000X
Occupational Therapist
OT8395
FL
235Z00000X
Speech-Language Pathologist
Primary
OT8395
FL
Other
Enumeration date
09/07/2006
Last updated
09/11/2025
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