Provider Demographics
NPI:1457582702
Name:NEW THERAPY REHAB
Entity Type:Organization
Organization Name:NEW THERAPY REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ERICK
Authorized Official - Middle Name:
Authorized Official - Last Name:URRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-543-1632
Mailing Address - Street 1:1901 DOOMAR DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4805
Mailing Address - Country:US
Mailing Address - Phone:786-543-1632
Mailing Address - Fax:
Practice Address - Street 1:1901 DOOMAR DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4805
Practice Address - Country:US
Practice Address - Phone:786-543-1632
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-04
Last Update Date:2009-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine