Provider Demographics
NPI:1134317662
Name:ALL AMERICAN REHABILITATION CENTER, INC
Entity Type:Organization
Organization Name:ALL AMERICAN REHABILITATION CENTER, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:MALDONADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-556-4036
Mailing Address - Street 1:1790 W 49TH ST
Mailing Address - Street 2:SUITE 400-10
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33012-2992
Mailing Address - Country:US
Mailing Address - Phone:305-556-4036
Mailing Address - Fax:305-556-4084
Practice Address - Street 1:1790 W 49TH ST
Practice Address - Street 2:SUITE 400-10
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33012-2992
Practice Address - Country:US
Practice Address - Phone:305-556-4036
Practice Address - Fax:305-556-4084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty