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Organization
REVIVAL THERAPY LLC
Active
Organization
REVIVAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELLIOT EHRLICH PT (DIRECTOR)
(718) 866-8082
Entity
Organization
Contact information
Practice address
7846 TENNYSON CT, BOCA RATON, FL 33433-4142
(718) 866-8082
Mailing address
7846 TENNYSON CT, BOCA RATON, FL 33433-4142
(718) 866-8082
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25458
FL
Other
Enumeration date
06/10/2012
Last updated
06/10/2012
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