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Organization
PARADISE PHYSICAL THERAPY, LLC
Active
Organization
PARADISE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE WALLING DPT (OWNER, DIRECTOR, PHYSICAL THERAPIST)
(540) 447-6453
Entity
Organization
Contact information
Practice address
5023 RINGWOOD MEADOW DRIVE, BUILDING F, SARASOTA, FL 34235
(941) 360-9706
Mailing address
403 GIOVANNI DR, NOKOMIS, FL 34275-3589
(434) 420-0096
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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