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Organization
PT CONNECTION INC
Active
Organization
PT CONNECTION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYRA SHEILA BAQUIR JAVIER RPT (PRESIDENT)
(407) 435-4167
Entity
Organization
Contact information
Practice address
1822 GRASMERE DR, APOPKA, FL 32703-7639
(407) 886-2152
(407) 886-2152
Mailing address
1822 GRASMERE DR, APOPKA, FL 32703-7639
(407) 886-2152
(407) 886-2152
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 15122
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DD8533
MEDICARE RAILROAD
FL
Enumeration date
06/03/2006
Last updated
08/22/2020
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