Premier Physical Therapy Sport Medicine INC
NPI #1265542682 in Fort Pierce, Florida
Provider Information
- NPI Number
- 1265542682
- Entity Type
- Organization
- Organization Name
- Premier Physical Therapy Sport Medicine INC
- Primary Specialty
- Physical Therapist
- Enumeration Date
- Aug 30, 2006
- Last Updated
- Feb 19, 2020
Practice Location
- Address
- 800 VIRGINIA AVE STE 48
- City
- Fort Pierce
- State
- Florida
- ZIP Code
- 34982-5893
- Phone
- (772) 464-6424
Authorized Official
- Name
- JEFFREY ALAN TUCKER, MPT
- Title
- EXECUTIVE DIRECTOR
- Phone
- (772) 335-7966
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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