Physical Therapy Internet P.a.

NPI #1114256179 in Indiantown, Florida

Provider Information

NPI Number: 1114256179
Entity Type: Organization
Organization Name: Physical Therapy Internet P.a.
Primary Specialty: Physical Therapist
Enumeration Date: Dec 21, 2009
Last Updated: Feb 5, 2014

Practice Location

Address: 15516 SW OSCEOLA ST
Address 2: SUITE B
City: Indiantown
State: Florida
ZIP Code: 34956-3414
Phone: (772) 597-1112

Authorized Official

Name: MR. MUHAMMAD SYED NOORUDDIN, P.T.
Title: DIRECTOR OF REHABILITATION
Phone: (772) 597-1112

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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