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NPI Code Detail

MEDICARE: JIM HARTTS PHYSICAL THERAPY AND SPORTS TRAINING CENTER INC

MEDICARE: JIM HARTTS PHYSICAL THERAPY AND SPORTS TRAINING CENTER INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center7721FL

General Provider Information

NPI Number : 1710178306
Entity Type Code : Organization
Provider Name (Legal Business Name) : JIM HARTTS PHYSICAL THERAPY AND SPORTS TRAINING CENTER INC
Provider Business Mailing Address
First Line : 251 W PROSPECT RD
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33309-3925
Country : US
Telephone Number : 954-202-5959
Fax Number : 954-202-5544
Provider Business Practice Location Address
First Line : 251 W PROSPECT RD
Second Line :
City : OAKLAND PARK
State : FL
Zip : 33309-3925
Country : US
Telephone Number : 954-202-5959
Fax Number : 954-202-5544
Authorized Official
Title or Position : PRESIDENT
Name : MR. WILLIAM JIM HARTT
Credential : P.T.
Telephone Number : 954-202-5959
Provider Enumeration Date : 08/07/2007
Last Update Date : 01/03/2008

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Directions to “JIM HARTTS PHYSICAL THERAPY AND SPORTS TRAINING CENTER INC ” Practice Location

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