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Organization
GOOD SAMARITAN PHYSIO-THERAPY, LLC
Active
Organization
GOOD SAMARITAN PHYSIO-THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL DANIEL BENONY DPT (CLINICAL DIRECTOR)
(561) 808-3030
Entity
Organization
Contact information
Practice address
2393 SOUTH CONGRESS AVE SUITE 125, WEST PALM BEACH, FL 33406
(561) 253-6382
(561) 253-0437
Mailing address
5055 NORTHERN LIGHTS DR, GREENACRES, FL 33463-2037
(561) 808-3030
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27961
FL
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
06/14/2018
Last updated
07/15/2019
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