Prime Physical Therapy | |
1380 Athens Dr Ne, Palm Bay, FL 32907-1152 | |
(321) 432-4376 | |
Not Available |
Full Name | Prime Physical Therapy |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 1380 Athens Dr Ne, Palm Bay, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326655275 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Amanda Goelz |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1710311014 PECOS PAC ID: 3476784059 Enrollment ID: I20140324002022 |
Mailing Address | Practice Location Address |
---|---|
Prime Physical Therapy 1380 Athens Dr Ne, Palm Bay, FL 32907-1152 Ph: (321) 432-4376 | Prime Physical Therapy 1380 Athens Dr Ne, Palm Bay, FL 32907-1152 Ph: (321) 432-4376 |
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