Independence Rehab LLC

NPI #1073536413 in Lakeland, Florida

Provider Information

NPI Number: 1073536413
Entity Type: Organization
Organization Name: Independence Rehab LLC
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Jul 26, 2006
Last Updated: Sep 19, 2007

Practice Location

Address: 5241 NICHOLS DR E
City: Lakeland
State: Florida
ZIP Code: 33813-4077
Phone: (863) 409-6481

Authorized Official

Name: MR. LUIS EDUARDO RODRIGUEZ, PT
Title: PHYSICAL THERAPY
Phone: (863) 409-6481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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