Provider Demographics
NPI:1124077375
Name:DIRECT REHAB SERVICES, LLC
Entity type:Organization
Organization Name:DIRECT REHAB SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:GEAN
Authorized Official - Last Name:STRUBBE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:561-204-6593
Mailing Address - Street 1:10694 PASO FINO DR
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:FL
Mailing Address - Zip Code:33449-8018
Mailing Address - Country:US
Mailing Address - Phone:561-204-6590
Mailing Address - Fax:561-204-6592
Practice Address - Street 1:22601 CAMINO DEL MAR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-6516
Practice Address - Country:US
Practice Address - Phone:561-393-6590
Practice Address - Fax:888-891-8591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-07
Last Update Date:2014-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT200432251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Multi-Specialty