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Organization
SELECT THERAPY AND REHABILITATION SERVICES
Active
Organization
SELECT THERAPY AND REHABILITATION SERVICES
Active
Other names
Select therapy and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW ROBERT WAGGONER PT, M.S., MTC (CLINICAL DIRECTOR)
(954) 443-3996
Entity
Organization
Contact information
Practice address
3157 N UNIVERSITY DR, SUITE 102, PEMBROKE PINES, FL 33024-2258
(954) 443-3996
(954) 443-3994
Mailing address
3157 N UNIVERSITY DR, SUITE 102, PEMBROKE PINES, FL 33024-2258
(954) 443-3996
(954) 443-3994
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
FL 18303
FL
Other
Enumeration date
11/18/2005
Last updated
08/22/2020
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