Revival Rehab, LLC

NPI #1558194704 in Lutz, Florida

Provider Information

NPI Number: 1558194704
Entity Type: Organization
Organization Name: Revival Rehab, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 22, 2024
Last Updated: Aug 26, 2024

Practice Location

Address: 18625 LE DAUPHINE PL
City: Lutz
State: Florida
ZIP Code: 33558-2886
Phone: (813) 842-3351

Authorized Official

Name: TODD MINEAR, PT
Title: OWNER/PHYSICAL THERAPIST
Phone: (813) 842-3351

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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