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NPI Code Detail

MEDICARE: PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, INC

MEDICARE: PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, 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 : 1932400470
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, INC
Provider Business Mailing Address
First Line : 106 PONCE DE LEON ST
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-1213
Country : US
Telephone Number : 561-791-9090
Fax Number : 561-791-9071
Provider Business Practice Location Address
First Line : 11551 SOUTHERN BLVD
Second Line :
City : ROYAL PALM BEACH
State : FL
Zip : 33411-4254
Country : US
Telephone Number : 561-798-9411
Fax Number : 561-422-8161
Authorized Official
Title or Position : PRESIDENT
Name : DR. JOHN PAPA
Credential : D.C.
Telephone Number : 561-801-2535
Provider Enumeration Date : 11/16/2010
Last Update Date : 11/16/2010

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Directions to “PHYSICAL THERAPY INSTITUTE AND AQUATIC REHAB, INC ” Practice Location

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