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Organization
XL PHYSICAL THERAPY AND SPORTS REHAB
Active
Organization
XL PHYSICAL THERAPY AND SPORTS REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JACK C ZATORSKI JR. PT (OWNER/MANAGER)
(954) 347-2151
Entity
Organization
Contact information
Practice address
2001 NE 48TH ST, FT LAUDERDALE, FL 33308-4517
(954) 347-2151
(954) 566-2409
Mailing address
2001 NE 48TH ST, FT LAUDERDALE, FL 33308-4517
(954) 347-2151
(954) 566-2409
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT16359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT16359
FLORIDA STATE LICENSE
FL
Enumeration date
11/06/2014
Last updated
11/06/2014
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