Provider Demographics
NPI:1407557762
Name:NMBH REHAB LLC
Entity Type:Organization
Organization Name:NMBH REHAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EHIMEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SEDENU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:321-418-4388
Mailing Address - Street 1:10524 MOSS PARK RD # 204-363
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5898
Mailing Address - Country:US
Mailing Address - Phone:951-468-6463
Mailing Address - Fax:
Practice Address - Street 1:331 N MAITLAND AVE STE C3
Practice Address - Street 2:
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-4754
Practice Address - Country:US
Practice Address - Phone:407-634-3515
Practice Address - Fax:920-696-3515
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NU MIND BODY HEALTH LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-03-14
Last Update Date:2023-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty