Physical Therapy at Home INC

NPI #1346505559 in Venice, Florida

Provider Information

NPI Number: 1346505559
Entity Type: Organization
Organization Name: Physical Therapy at Home INC
Primary Specialty: Physical Therapist
Enumeration Date: Jul 13, 2012
Last Updated: Oct 28, 2013

Practice Location

Address: 1121 JACARANDA BLVD
City: Venice
State: Florida
ZIP Code: 34292-4586
Phone: (941) 206-5200

Authorized Official

Name: GOMAA RAMADAM IBRAHIM ALI, PT
Title: OWNER
Phone: (941) 206-5200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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