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Organization
PHYSICAL THERAPY IN YOUR HOME INDIANA
Active
Organization
PHYSICAL THERAPY IN YOUR HOME INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWARD J MCCORMACK PT (OWNER)
(561) 189-2105
Entity
Organization
Contact information
Practice address
400 S DIXIE HWY, 120, BOCA RATON, FL 33432-5518
(561) 368-3472
(561) 750-6849
Mailing address
400 S DIXIE HWY, 120, BOCA RATON, FL 33432-5518
(561) 368-3472
(561) 750-6849
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05005132A
IN
Other
Enumeration date
01/24/2007
Last updated
08/22/2020
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