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Organization
INTENTIONAL WELLNESS
Active
Organization
INTENTIONAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROBYN JENNIFER ROSE MPT,CST-D (MANAGING MEMBER/OWNER)
(407) 774-7744
Entity
Organization
Contact information
Practice address
2139 W STATE ROAD 434, UNIT 101, LONGWOOD, FL 32779-5019
(407) 774-7744
Mailing address
2139 W STATE ROAD 434, UNIT 101, LONGWOOD, FL 32779-5019
(407) 774-7744
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT18020
FL
Other
Enumeration date
02/09/2010
Last updated
02/09/2010
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