Functional Therapy and Wellness LLC
NPI #1144840414 in Titusville, Florida
Provider Information
- NPI Number
- 1144840414
- Entity Type
- Organization
- Organization Name
- Functional Therapy and Wellness LLC
- Primary Specialty
- Clinic/Center - Physical Therapy
- Enumeration Date
- Apr 16, 2020
- Last Updated
- Apr 27, 2020
Practice Location
- Address
- 2715 KNOX MCRAE DR
- City
- Titusville
- State
- Florida
- ZIP Code
- 32780-5113
- Phone
- (321) 202-3323
Authorized Official
- Name
- DR. SHANE H. ROSONINA, DPT
- Title
- DOCTOR OF PHYSICAL THERAPY
- Phone
- (321) 202-3323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Physical Therapy — Physical Therapy |
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