Healthcare Provider Details

I. General information

NPI: 1801064761
Provider Name (Legal Business Name): BETTER BODY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2008
Last Update Date: 05/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9401 SW STATE ROAD 200 BLDG. 2000, SUITE 2001
OCALA FL
34481
US

IV. Provider business mailing address

821 NE 36TH TER SUITE #8
OCALA FL
34470-2049
US

V. Phone/Fax

Practice location:
  • Phone: 352-854-4017
  • Fax: 352-854-4389
Mailing address:
  • Phone: 352-694-6466
  • Fax: 352-694-3657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT3979
License Number StateFL

VIII. Authorized Official

Name: MS. LISA DANIELS GEORGE
Title or Position: OWNER
Credential: M.P.T.
Phone: 352-694-6466