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Organization
FLORIDA MOVEMENT THERAPY CENTER-BOYNTON BEACH INC
Active
Organization
FLORIDA MOVEMENT THERAPY CENTER-BOYNTON BEACH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD PATRICK GRAY OTR/L-PTA (PRESIDENT)
(561) 733-5083
Entity
Organization
Contact information
Practice address
12040 S JOG RD, SUITE 8, BOYNTON BEACH, FL 33437-4164
(561) 733-5083
Mailing address
12040 S JOG RD, SUITE #8, BOYNTON BEACH, FL 33437-4164
(561) 733-5083
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 3436
FL
225X00000X
Occupational Therapist
OT 9734
FL
Other
Enumeration date
10/14/2007
Last updated
10/23/2015
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