Musculoskeletal Rehab of Mount Dora, INC
NPI #1790068690 in Mount Dora, Florida
Provider Information
- NPI Number
- 1790068690
- Entity Type
- Organization
- Organization Name
- Musculoskeletal Rehab of Mount Dora, INC
- Primary Specialty
- Point of Service
- Enumeration Date
- Sep 27, 2011
- Last Updated
- Sep 27, 2011
Practice Location
- Address
- 428 E 5TH AVE
- City
- Mount Dora
- State
- Florida
- ZIP Code
- 32757-5663
- Phone
- (352) 383-0004
Authorized Official
- Name
- SHAMAYA CHAH, LMT
- Title
- OWNER
- Phone
- (352) 383-0004
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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