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Organization
PHYSIOTHERAPY PLUS INC
Active
Organization
PHYSIOTHERAPY PLUS INC
Active
Other names
Fyzical Therapy & Balance Centers of Orlando (Fyzical West Orlando)
Organization subpart
No
Provider details
NPI number
Authorized official
IDLER BONHOMME LMT, MPT, DPT (CLINICAL DIR)
(321) 369-9133
Entity
Organization
Contact information
Practice address
6388 SILVER STAR RD STE 1E, ORLANDO, FL 32818-3235
(321) 369-9133
(888) 696-1020
Mailing address
6388 SILVER STAR RD, 1E, ORLANDO, FL 32818-3235
(321) 369-9133
(888) 696-1020
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21887
FL
225700000X
Massage Therapist
MA 32752
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017686500
—
FL
05
—
100816700
—
FL
05
—
891208400
—
FL
Enumeration date
05/15/2006
Last updated
01/05/2021
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