| Home Based Pediatric Physical Therapy Services LLC | |
|
929 Beresford Way Lake Mary FL 32746-6435 | |
| (407) 687-7422 | |
| Not Available |
| Full Name | Home Based Pediatric Physical Therapy Services LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 929 Beresford Way, Lake Mary, Florida |
| Authorized Official Name and Position | Linda Ferran (OWNER) |
| Authorized Official Contact | 4076877422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home Based Pediatric Physical Therapy Services LLC 929 Beresford Way Lake Mary FL 32746-6435 | Home Based Pediatric Physical Therapy Services LLC 929 Beresford Way Lake Mary FL 32746-6435 Ph: (407) 687-7422 |
| NPI Number | 1497386064 |
|---|---|
| Provider Enumeration Date | 01/31/2020 |
| Last Update Date | 01/31/2020 |
| Certification Date | 01/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497386064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (NU) | Primary |
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