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3802 Murrell Rd, Rockledge, FL 32955 | |
(321) 877-2090 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Physical Therapy |
Location | 3802 Murrell Rd, Rockledge, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740796895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | 19703 (Florida) | Secondary |
261QP2000X | Clinic/center - Physical Therapy | (Florida) | Primary |
Provider Name | Roger Henderson |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1073557070 PECOS PAC ID: 0547326043 Enrollment ID: I20090309000374 |
Provider Name | Gerald S Bowman |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1043749799 PECOS PAC ID: 2264780089 Enrollment ID: I20180809004984 |
Mailing Address | Practice Location Address |
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7777 N Wickham Rd Unit 12-514, Melbourne, FL 32940-7976 Ph: (305) 543-0133 | 3802 Murrell Rd, Rockledge, FL 32955 Ph: (321) 877-2090 |