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Organization
ON SITE PHYSICAL THERAPY LLC
Active
Organization
ON SITE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY RYAN NOLIN MPT, CSCS (OWNER/ PHYSICAL THERAPIST)
(561) 632-2160
Entity
Organization
Contact information
Practice address
200 ADMIRALS COVE BLVD, JUPITER, FL 33477-4046
(561) 632-2160
(561) 842-6458
Mailing address
513 DRIFTWOOD RD, NORTH PALM BEACH, FL 33408-4813
(561) 632-2160
(561) 842-6458
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 20257
FL
Other
Enumeration date
07/17/2007
Last updated
09/24/2007
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