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Organization
MODERN PHYSICAL THERAPY
Active
Organization
MODERN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELLY L BLAKE FRANCES PT, DPT (OWNER/PHYSICAL THERAPIST)
(954) 295-1253
Entity
Organization
Contact information
Practice address
151 NE 16TH AVE STE 1, FORT LAUDERDALE, FL 33301-3882
(954) 295-1253
Mailing address
151 NE 16TH AVE STE 1, FORT LAUDERDALE, FL 33301-3882
(954) 295-1253
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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