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Organization
EXOS PHYSICAL THERAPY
Active
Organization
EXOS PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRAEME LAURISTON DPT (DIRECTOR OF PHYSICAL THERAPY)
(941) 960-5003
Entity
Organization
Contact information
Practice address
16627 FISHHAWK BLVD # 103, LITHIA, FL 33547-3800
(941) 960-5003
Mailing address
232 CREW CT, SARASOTA, FL 34243-2300
(941) 960-5003
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23805
FL
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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