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Organization
REQUEST PHYSICAL THERAPY
Active
Organization
REQUEST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A LIGMANOWSKI ATC (ASSISTANT DIRECTOR)
(352) 373-2116
Entity
Organization
Contact information
Practice address
4820 NEWBERRY ROAD, GAINESVILLE, FL 32609
(352) 692-2155
(352) 371-9021
Mailing address
4820 NEWBERRY ROAD, GAINESVILLE, FL 32609
(352) 373-2116
(352) 373-1507
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
HCC1637
FL
Other
Enumeration date
09/19/2005
Last updated
08/22/2020
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