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Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist

Provider NPI: 1588065957

Provider Information:
Gender: F
Sole Proprietor

Practice Location:
1000 W BROADWAY ST STE 214  OVIEDO, FL 32765-9262 US
Tel: 407-359-5693  Fax: 407-792-5693

Business Mailing Address:
1025 DOUGLAS AVE  DUNEDIN, FL 34698-4947 US
Tel: 917-753-7377  Fax: --

NPI Information:
NPI: 1588065957
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 225100000X





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