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Organization
GLADES PHYSICAL THERAPY AND SPORTS MEDICINE
Active
Organization
GLADES PHYSICAL THERAPY AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY J. BULLEN MSPT (PRESIDENT)
(954) 701-0528
Entity
Organization
Contact information
Practice address
1100 S MAIN ST, BELLE GLADE, FL 33430-4910
(954) 701-0528
Mailing address
1100 S MAIN ST, BELLE GLADE, FL 33430-4910
(954) 701-0528
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19361
FL
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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