| Spinal Therapy Medical Group Fl | |
|
433 Plaza Real Suite 255 Boca Raton FL 33432-3932 | |
| (561) 237-1717 | |
| (561) 237-1725 |
| Full Name | Spinal Therapy Medical Group Fl |
|---|---|
| Speciality | Physical Therapist |
| Location | 433 Plaza Real, Boca Raton, Florida |
| Authorized Official Name and Position | Lori Weiser (PRESIDENT) |
| Authorized Official Contact | 5612371717 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Spinal Therapy Medical Group Fl 433 Plaza Real Suite 255 Boca Raton FL 33432-3932 Ph: (561) 237-1717 | Spinal Therapy Medical Group Fl 433 Plaza Real Suite 255 Boca Raton FL 33432-3932 Ph: (561) 237-1717 |
| NPI Number | 1750580460 |
|---|---|
| Provider Enumeration Date | 07/12/2007 |
| Last Update Date | 07/23/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750580460 | NPI | - | NPPES |
| ME51866 | Other | FL | LICENSE |
| PTA17624 | Other | FL | LICENSE |
| PT21956 | Other | FL | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME51866 (Florida) | Secondary |
| 225100000X | Physical Therapist | PTA17624 (Florida) | Primary |
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