| |
15516 Sw Osceola St, Suite B, Indiantown, FL 34956-3414 | |
(772) 597-1112 | |
(772) 597-1116 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 15516 Sw Osceola St, Indiantown, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114256179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT10426 (Florida) | Primary |
Mailing Address | Practice Location Address |
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15516 Sw Osceola St, Suite B, Indiantown, FL 34956-3414 Ph: (772) 597-1112 | 15516 Sw Osceola St, Suite B, Indiantown, FL 34956-3414 Ph: (772) 597-1112 |