Provider Demographics
NPI:1326705823
Name:THERAPY REHAB CENTER INC
Entity Type:Organization
Organization Name:THERAPY REHAB CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTER AGENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:AIMARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CAMARGO
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:305-244-2116
Mailing Address - Street 1:10109 SOUTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-4336
Mailing Address - Country:US
Mailing Address - Phone:561-847-4765
Mailing Address - Fax:
Practice Address - Street 1:10109 SOUTHERN BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-4336
Practice Address - Country:US
Practice Address - Phone:561-847-4765
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-19
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLMA69713OtherMASSAGE THERAPIST