Provider Demographics
NPI:1053482398
Name:MOVING FORWARD REHABILITATION INC
Entity Type:Organization
Organization Name:MOVING FORWARD REHABILITATION INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:ABBOTT
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:352-751-3781
Mailing Address - Street 1:13690 N US HIGHWAY 441
Mailing Address - Street 2:SUITE 400
Mailing Address - City:LADY LAKE
Mailing Address - State:FL
Mailing Address - Zip Code:32159-6810
Mailing Address - Country:US
Mailing Address - Phone:352-751-3781
Mailing Address - Fax:352-751-0169
Practice Address - Street 1:13690 N US HIGHWAY 441
Practice Address - Street 2:SUITE 400
Practice Address - City:LADY LAKE
Practice Address - State:FL
Practice Address - Zip Code:32159-6810
Practice Address - Country:US
Practice Address - Phone:352-751-3781
Practice Address - Fax:352-751-0169
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-10
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty