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Organization
STEP UP PHYSICAL THERAPY & REHABILITATION, INC
Active
Organization
STEP UP PHYSICAL THERAPY & REHABILITATION, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GERALDINE G MALVAS RPT (CEO)
(941) 423-7705
Entity
Organization
Contact information
Practice address
14866 TAMIAMI TRAIL, SUITE A204, NORTH PORT, FL 34287
(941) 423-7705
(941) 423-7712
Mailing address
14866 TAMIAMI TRAIL, SUITE A204, NORTH PORT, FL 34287
(941) 423-7705
(941) 423-7712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10461
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y052Q
BCBS
FL
Enumeration date
11/24/2006
Last updated
11/28/2011
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