| |
1389 S Us 301, Sumterville, FL 33585-5143 | |
(352) 569-1088 | |
(352) 569-1090 |
Full Name | |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1389 S Us 301, Sumterville, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386822781 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 898 (Florida) | Primary |
Mailing Address | Practice Location Address |
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1389 S Us 301, Sumterville, FL 33585-5143 Ph: (352) 569-1088 | 1389 S Us 301, Sumterville, FL 33585-5143 Ph: (352) 569-1088 |