Provider Demographics
NPI:1982762159
Name:ONE ON ONE REHAB INC
Entity Type:Organization
Organization Name:ONE ON ONE REHAB INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LILIANA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:DEFIORE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:239-275-4411
Mailing Address - Street 1:4968 ROYAL GULF CIR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33966-7006
Mailing Address - Country:US
Mailing Address - Phone:239-275-4411
Mailing Address - Fax:239-275-6408
Practice Address - Street 1:4968 ROYAL GULF CIR
Practice Address - Street 2:SUITE 102
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-7006
Practice Address - Country:US
Practice Address - Phone:239-275-4411
Practice Address - Fax:239-275-6408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2015-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy