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Organization
GEMMA BANEZ PHYSICAL THERAPY,PA
Active
Organization
GEMMA BANEZ PHYSICAL THERAPY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GEMMA BANEZ RPT (PRESIDENT/DIRECTOR)
(561) 855-6170
Entity
Organization
Contact information
Practice address
7775 LAKE WORTH RD STE A, LAKE WORTH, FL 33467-2519
(561) 855-6170
(561) 855-6167
Mailing address
7775 LAKE WORTH RD, LAKE WORTH, FL 33467-2536
(561) 967-6800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT011092
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
885954000
—
FL
Enumeration date
09/04/2006
Last updated
04/14/2024
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