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