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Organization
FYZIOTHERAPY
Active
Organization
FYZIOTHERAPY
Active
Other names
Rehability Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL LAVARIAS PT (ADMINISTRATOR)
(386) 214-8886
Entity
Organization
Contact information
Practice address
174 WILSHIRE BLVD, CASSELBERRY, FL 32707-5352
(407) 288-8299
Mailing address
174 WILSHIRE BLVD, CASSELBERRY, FL 32707-5352
(407) 288-8299
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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