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Organization
OLIVE TREE PHYSICAL THERAPY, LLC
Active
Organization
OLIVE TREE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIMIKA TOMES PT, DPT (OWNER)
(704) 779-3119
Entity
Organization
Contact information
Practice address
2810 HIGHWAY 77, D, PANAMA CITY, FL 32405-4479
(704) 779-3119
Mailing address
300 CABANA BLVD, UNIT 1103, PANAMA CITY BEACH, FL 32407-4563
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
PT26256
FL
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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