# NAU PHYSICAL THERAPY AND WELLNESS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972967743
- **Authorized official:** SOKUNTHEA NAU DPT (MANAGER)
- **Authorized official phone:** (772) 342-1020

## Contact information

- **Practice address:** 10023 S US HIGHWAY 1, SUITE A, PORT SAINT LUCIE, FL 34952-5643
- **Practice address phone:** (772) 342-1020
- **Mailing address:** 10023 S US HIGHWAY 1, SUITE A, PORT SAINT LUCIE, FL 34952-5643
- **Mailing address phone:** (772) 342-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | PT23414 | FL | Yes |

## Other

- **Enumeration date:** 04/07/2016
- **Last updated:** 04/07/2016