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Organization
THERA WAY INC.
Active
Organization
THERA WAY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SAPIO DOCUMENTO RPT (ADMINISTRATIVE DIRECTOR)
(772) 240-5527
Entity
Organization
Contact information
Practice address
443 SE NOME DR, PORT ST LUCIE, FL 34984-8902
(772) 240-5527
(772) 344-4851
Mailing address
443 SE NOME DR, PORT SAINT LUCIE, FL 34984-8902
(772) 240-5527
(772) 344-4851
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20821
FL
251E00000X
Home Health Agency
—
FL
Other
Enumeration date
12/09/2007
Last updated
01/22/2008
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