Provider Demographics
NPI:1184727281
Name:ONE TO ONE REHAB STRENGTH AND WELLNESS LLC
Entity type:Organization
Organization Name:ONE TO ONE REHAB STRENGTH AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MARAGINS MEMBER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:RANIERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-724-0060
Mailing Address - Street 1:3008 WEST NEW HAVEN AVE
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904
Mailing Address - Country:US
Mailing Address - Phone:321-676-4073
Mailing Address - Fax:321-724-6775
Practice Address - Street 1:3008 WEST NEW HAVEN AVE
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904
Practice Address - Country:US
Practice Address - Phone:321-676-4073
Practice Address - Fax:321-724-6775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy