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Organization
PERSONAL PHYSICAL THERAPY, INC.
Active
Organization
PERSONAL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DWIGHT A QUALLO RPT (PRESIDENT)
(954) 599-8359
Entity
Organization
Contact information
Practice address
839 NW 98TH AVE, PLANTATION, FL 33324-6129
(954) 599-8359
(954) 370-8291
Mailing address
839 NW 98TH AVE, PLANTATION, FL 33324-6129
(954) 599-8359
(954) 370-8291
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 8870
FL
Other
Enumeration date
09/15/2005
Last updated
08/22/2020
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