Provider Demographics
NPI:1093830754
Name:NEW HEIGHTS REHAB LLC
Entity Type:Organization
Organization Name:NEW HEIGHTS REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:DIBRA
Authorized Official - Suffix:
Authorized Official - Credentials:OTRL
Authorized Official - Phone:305-322-7728
Mailing Address - Street 1:1548 SE 20TH RD
Mailing Address - Street 2:
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2610
Mailing Address - Country:US
Mailing Address - Phone:305-322-7728
Mailing Address - Fax:
Practice Address - Street 1:1548 SE 20TH RD
Practice Address - Street 2:
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33035-2610
Practice Address - Country:US
Practice Address - Phone:305-322-7728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2010-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty