Family Rehab Clinic

NPI 1750504957 - Preferred Provider Organization - 305R00000X

NPI Details
NPI 1750504957
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name FLORA FLORA
Position CEO
Phone (508) 587-0404
Fax (508) 587-0458
Practice Location
231 MAIN ST STE 103
BROCKTON MA, 02301-4342, US
Phone (508) 587-0404
Fax (508) 587-0458
Business Location
231 MAIN ST STE 103
BROCKTON MA, 02301-4342, US
Phone (508) 587-0404
Fax (508) 587-0458
Toxanomy
Taxonomy Code 305R00000X
License State Massachusetts
License Number 204
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According to our database, Family Rehab Clinic NPI is 1750504957, taxonomy code is 305R00000X and license number is 204, license state is located at Massachusetts. Family Rehab Clinic physically located at 231 Main St Ste 103, Brockton MA, 02301-4342. NPI Number 1033115704 has the healthcare provider type.

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1750504957 NPI number is provided on an as is basis without warranty of any kind. 1750504957 is maintained by the National Plan & Provider Enumeration System. The contents of Family Rehab Clinic are for informational purposes only.