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NPI Code Detail

MEDICARE: PALM BEACH THERAPY & FITNESS PROVIDERS, INC.

MEDICARE: PALM BEACH THERAPY & FITNESS PROVIDERS, 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 Therapist

General Provider Information

NPI Number : 1487015509
Entity Type Code : Organization
Provider Name (Legal Business Name) : PALM BEACH THERAPY & FITNESS PROVIDERS, INC.
Provider Business Mailing Address
First Line : 15682 CYPRESS PARK DR
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6356
Country : US
Telephone Number : 561-676-1041
Fax Number : 561-370-7034
Provider Business Practice Location Address
First Line : 15682 CYPRESS PARK DR
Second Line :
City : WELLINGTON
State : FL
Zip : 33414-6356
Country : US
Telephone Number : 561-676-1041
Fax Number : 561-370-7034
Authorized Official
Title or Position : PRESIDENT
Name : KATHLEEN M. RIOLINO
Credential :
Telephone Number : 561-676-1041
Provider Enumeration Date : 03/17/2016
Last Update Date : 03/24/2016

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Directions to “PALM BEACH THERAPY & FITNESS PROVIDERS, INC. ” Practice Location

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