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Organization
PURE PT PHYSICAL THERAPY LLC
Active
Organization
PURE PT PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL KUDLICK PT, DPT (OWNER/PHYSICAL THERAPIST)
(386) 575-4027
Entity
Organization
Contact information
Practice address
2864 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8335
(386) 575-4027
(386) 575-4028
Mailing address
2864 WELLNESS AVE STE 100, ORANGE CITY, FL 32763-8335
(386) 575-4027
(386) 575-4028
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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