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NPI Code Detail

MEDICARE: QUALITY IN MOTION HOME PT INC

MEDICARE: QUALITY IN MOTION HOME PT 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
1225100000XPhysical TherapistPT 3526FL

General Provider Information

NPI Number : 1851507503
Entity Type Code : Organization
Provider Name (Legal Business Name) : QUALITY IN MOTION HOME PT INC
Provider Business Mailing Address
First Line : 4740 HUNTING TRL
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-3526
Country : US
Telephone Number : 561-281-1403
Fax Number : 561-433-8981
Provider Business Practice Location Address
First Line : 4740 HUNTING TRL
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-3526
Country : US
Telephone Number : 561-281-1403
Fax Number : 561-433-8981
Authorized Official
Title or Position : PT
Name : DANA B UNSELL
Credential : P.T.
Telephone Number : 561-281-2403
Provider Enumeration Date : 05/16/2007
Last Update Date : 12/09/2008

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Directions to “QUALITY IN MOTION HOME PT INC ” Practice Location

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