Healthcare Provider Details

I. General information

NPI: 1770618779
Provider Name (Legal Business Name): BETTER BODY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 05/06/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 SW HIGHWAY 200 SUITE 2001
OCALA FL
34481-9612
US

IV. Provider business mailing address

9401 SW HIGHWAY 200 SUITE 2001
OCALA FL
34481-9612
US

V. Phone/Fax

Practice location:
  • Phone: 352-854-4017
  • Fax: 352-854-4389
Mailing address:
  • Phone: 352-854-4017
  • Fax: 352-854-4389

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: LISA D GEORGE
Title or Position: OWNER
Credential: R.P.T.
Phone: 352-854-4017