Provider Demographics
NPI:1154504249
Name:REHABDYNAMICS, LLC
Entity Type:Organization
Organization Name:REHABDYNAMICS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TERRI
Authorized Official - Middle Name:A
Authorized Official - Last Name:RINES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:371-722-5994
Mailing Address - Street 1:4205 TWIN PALM LN
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-9582
Mailing Address - Country:US
Mailing Address - Phone:371-722-5994
Mailing Address - Fax:371-722-5978
Practice Address - Street 1:8085 SPYGLASS HILL RD
Practice Address - Street 2:
Practice Address - City:VIERA
Practice Address - State:FL
Practice Address - Zip Code:32940-7984
Practice Address - Country:US
Practice Address - Phone:321-751-6771
Practice Address - Fax:321-751-6798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation