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Organization
HOME SWEET HOME PEDIATRIC THERAPY, LLC
Active
Organization
HOME SWEET HOME PEDIATRIC THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA SUEE LEE MS, PT (PHYSICAL THERAPIST/ OWNER)
(954) 579-5619
Entity
Organization
Contact information
Practice address
11246 SW OLMSTEAD DR, PORT SAINT LUCIE, FL 34987-1945
(954) 579-5619
(772) 673-0523
Mailing address
11246 SW OLMSTEAD DR, PORT SAINT LUCIE, FL 34987-1945
(954) 579-5619
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251P0200X
Pediatric Physical Therapist
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
11/09/2018
Last updated
11/09/2018
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