Beachside Physical Therapy

NPI #1952415622 in Viera, Florida

Provider Information

NPI Number: 1952415622
Entity Type: Organization
Organization Name: Beachside Physical Therapy
Primary Specialty: Physical Therapist
Enumeration Date: Aug 18, 2006
Last Updated: Apr 20, 2021

Practice Location

Address: 7341 OFFICE PARK PL STE 102
City: Viera
State: Florida
ZIP Code: 32940-8280
Phone: (321) 690-6612

Authorized Official

Name: GABRIELA LITT
Title: CREDENTIALING COORDINATOR
Phone: (951) 696-9353

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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