Organization

Innovative Rehab Care Inc

Legal Business Name

Innovative Rehab Care Inc

NPI Number

1982707584

NPI Type

Organization

Enumeration Date

09/07/2006

Specialties

(Taxonomies)

Code

225700000X
225X00000X
225100000X
235Z00000X

Primary Taxonomy

No
No
No
No

Licenses

State

Florida

License Number

OT8395

Contact
Information

Purpose

Mailing
Location

Address

2286-1 WEDNESDAY STREET
2286-1 WEDNESDAY STREET

City

Tallahassee
Tallahassee

State

FL
FL

Postal Code

32308
32308

Country

US
US

Telephone Number

(850) 219-7826
(850) 219-7826

Authorized Official

Name

Mr. Robert Lisson

Title or Position

OWNER OCCUPATIONAL THERAPIST

Telephone Number

(850) 219-7826

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 08/22/2020

Provider Address