# FOSSITT THERAPY SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811940471
- **Authorized official:** MR. LAWRENCE ALLEN FOSSITT MPT (PRESIDENT)
- **Authorized official phone:** (407) 328-5420

## Contact information

- **Practice address:** 2015 S MAPLE AVE, SANFORD, FL 32771-3361
- **Practice address phone:** (407) 328-5420
- **Practice address fax:** (407) 328-5430
- **Mailing address:** 289 BRASSINGTON DR, DEBARY, FL 32713-2138
- **Mailing address phone:** (407) 792-8590
- **Mailing address fax:** (407) 328-5430

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | OT 10292 | FL | — |
| 261QM1300X | Multi-Specialty Clinic/Center | PT 19048 | FL | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | SA 1721 | FL | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 01/17/2012