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Organization
GOLF REHAB SPECIALISTS, LLC
Active
Organization
GOLF REHAB SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TIMOTHY ROBERT TOWARD II MPT (OWNER/OPERATOR)
(561) 202-7047
Entity
Organization
Contact information
Practice address
6120 WINDING LAKE DR, JUPITER, FL 33458-3739
(561) 202-7047
(561) 972-7066
Mailing address
6120 WINDING LAKE DR, JUPITER, FL 33458-3739
(561) 202-7047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19114
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889096000
—
FL
Enumeration date
07/27/2018
Last updated
03/22/2019
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