Home Based Pediatric Physical Therapy Services LLC

NPI #1497386064 in Lake Mary, Florida

Provider Information

NPI Number: 1497386064
Entity Type: Organization
Organization Name: Home Based Pediatric Physical Therapy Services LLC
Primary Specialty: Clinic/Center
Enumeration Date: Jan 31, 2020
Last Updated: Jan 31, 2020

Practice Location

Address: 929 BERESFORD WAY
City: Lake Mary
State: Florida
ZIP Code: 32746-6435
Phone: (407) 687-7422

Authorized Official

Name: LINDA FERRAN
Title: OWNER
Phone: (407) 687-7422

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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