| Revival Rehab, Llc | |
|
18625 Le Dauphine Pl, Lutz, FL 33558-2886 | |
| (813) 842-3351 | |
| Not Available |
| Full Name | Revival Rehab, Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 18625 Le Dauphine Pl, Lutz, Florida |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558194704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Todd S Minear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679688667 PECOS PAC ID: 1456257054 Enrollment ID: I20031212000116 |
| Mailing Address | Practice Location Address |
|---|---|
| Revival Rehab, Llc 18625 Le Dauphine Pl, Lutz, FL 33558-2886 Ph: () - | Revival Rehab, Llc 18625 Le Dauphine Pl, Lutz, FL 33558-2886 Ph: (813) 842-3351 |
Joseph Gannuscio, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 22629 Laureldale Dr, Lutz, FL 33549 Phone: 813-618-2602 | |
Focus Rehab, Inc. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19706 Wild Water Cv, Lutz, FL 33559 Phone: 813-957-5885 | |
Manali Patel, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 23012 State Road 54 Ste 509, Lutz, FL 33549 Phone: 813-536-0129 | |
Dr. Akhil Das, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 19706 Wild Water Cv, Lutz, FL 33559 Phone: 813-957-5885 | |
Mrs. Adriana Nascimento Potter, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 5318 Van Dyke Rd, Lutz, FL 33558 Phone: 813-265-3033 | |
Michael Courtney, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 750 Hayes Rd, Lutz, FL 33549 Phone: 813-559-1500 |