Provider Demographics
NPI:1871240218
Name:PALM BEACH PHYSICAL THERAPY & REHABILITATION
Entity Type:Organization
Organization Name:PALM BEACH PHYSICAL THERAPY & REHABILITATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:561-373-9494
Mailing Address - Street 1:815 BRADLEY ST
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-2855
Mailing Address - Country:US
Mailing Address - Phone:561-373-9494
Mailing Address - Fax:
Practice Address - Street 1:6250 LANTANA RD STE 25
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-6611
Practice Address - Country:US
Practice Address - Phone:561-373-9494
Practice Address - Fax:561-536-3966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-06
Last Update Date:2022-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy