NPI 1073536413

Independence Rehab LLC

Organisation Physical Disabilities Residential Treatment Facility Lakeland, FL

Practice location

Address: 5241 Nichols Dr E, Lakeland, FL 33813-4077
Phone: (863) 409-6481

Authorised official

Name: Luis Eduardo Rodriguez
Title: Physical Therapy
Phone: (863) 409-6481

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence PT7865 (FL)

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1073536413
Entity type: Organization
NPI issued: 26 Jul 2006
Record last updated: 19 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.