Provider Demographics
NPI:1548531387
Name:AMAL REHAB CARE,INC.
Entity type:Organization
Organization Name:AMAL REHAB CARE,INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLA
Authorized Official - Middle Name:
Authorized Official - Last Name:FADALY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:813-727-9542
Mailing Address - Street 1:9222 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-5422
Mailing Address - Country:US
Mailing Address - Phone:813-899-0797
Mailing Address - Fax:813-899-2612
Practice Address - Street 1:9222 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-5422
Practice Address - Country:US
Practice Address - Phone:813-899-0797
Practice Address - Fax:813-899-2612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-25
Last Update Date:2015-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT0011141225100000X
FLPT0011142225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty