Registry details
Type
Organization
Primary specialty
Physical Therapist
Enumerated
Aug 15, 2006
License(s)
PT 18062 (FL), PT 6159 (FL), PT 6667 (FL), PTA 2316 (FL), PTA 13197 (FL), OT 8098 (FL), SA 7383 (FL), PT 6159 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 2685 EXECUTIVE PARK DR STE 4 | Weston, FL 33331-3651 | 954-515-0892 |
| MAILING | 2685 EXECUTIVE PARK DR STE 4 | Weston, FL 33331-3651 | 954-515-0892 |
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