Country Club Pt PA
NPI #1174830202 in West Palm Beach, Florida
Provider Information
- NPI Number
- 1174830202
- Entity Type
- Organization
- Organization Name
- Country Club Pt PA
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Sep 10, 2010
- Last Updated
- Sep 18, 2012
Practice Location
- Address
- 13200 EASTPOINTE WAY
- City
- West Palm Beach
- State
- Florida
- ZIP Code
- 33418-1418
- Phone
- (561) 632-2160
Authorized Official
- Name
- BRADLEY NOLIN, MPT
- Title
- OWNER/THERAPIST
- Phone
- (561) 632-2160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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