Provider Demographics
NPI:1891074373
Name:L & J REHAB, INC
Entity type:Organization
Organization Name:L & J REHAB, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:
Authorized Official - Last Name:MARQUETTI
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:786-367-9290
Mailing Address - Street 1:2750 W 68TH ST STE 224
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33016-5452
Mailing Address - Country:US
Mailing Address - Phone:786-367-9290
Mailing Address - Fax:
Practice Address - Street 1:2750 W 68TH ST STE 224
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-5452
Practice Address - Country:US
Practice Address - Phone:786-367-9290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy