| Freedom Rehab Llc | |
|
17162 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 | |
| (941) 400-1505 | |
| Not Available |
| Full Name | Freedom Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Rehabilitation Practitioner |
| Location | 17162 Toledo Blade Blvd, Port Charlotte, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457724171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
| Provider Name | Cheryl Ray-keith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376716456 PECOS PAC ID: 6406912211 Enrollment ID: I20090303000563 |
| Provider Name | Brenda Cardone Vansalisbury |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750347431 PECOS PAC ID: 4880865062 Enrollment ID: I20110920000186 |
| Provider Name | Robert Allen Dolata |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1265483945 PECOS PAC ID: 0244272219 Enrollment ID: I20130808000820 |
| Provider Name | Michael Dana Mcintosh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982632576 PECOS PAC ID: 7911926001 Enrollment ID: I20180911003177 |
| Mailing Address | Practice Location Address |
|---|---|
| Freedom Rehab Llc 3545 Massini Ave, North Port, FL 34286-2412 Ph: () - | Freedom Rehab Llc 17162 Toledo Blade Blvd, Port Charlotte, FL 33954-2626 Ph: (941) 400-1505 |