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Organization
FUNCTIONAL PHYSICAL THERAPY
Active
Organization
FUNCTIONAL PHYSICAL THERAPY
Active
Parent organization
FUNCTIONAL PHYSICAL THERAPY
Other names
Bridge of Hope
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUNCTIONAL PHYSICAL THERAPY
Authorized official
MR. HECTOR L RODRIGUEZ AD (ADMINISTRATOR)
(407) 575-4636
Entity
Organization
Contact information
Practice address
1300 KEVSTIN DR, KISSIMMEE, FL 34744-5843
(407) 575-4636
(321) 250-7425
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(321) 250-7425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21146
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K9635A
THERAPY GROUP
FL
Enumeration date
01/22/2014
Last updated
01/22/2014
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