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Organization
WELLINGTON PHYSICAL THERAPY INC
Active
Organization
WELLINGTON PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW TAVOLACCI D.C. (MANAGER)
(561) 793-5550
Entity
Organization
Contact information
Practice address
12797 W. FOREST HILL BLVD, SUITE B, WELLINGTON, FL 33414
(561) 793-5550
Mailing address
12797 W. FOREST HILL BLVD, SUITE B, WELLINGTON, FL 33414
(561) 793-5550
(561) 793-5788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH10273
FL
225100000X
Physical Therapist
PT21779
FL
225100000X
Physical Therapist
Primary
PT27611
FL
Other
Enumeration date
01/01/2007
Last updated
08/19/2014
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