Organization
NEW WAVE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN DONNER PT, DPT (OWNER, PHYSICAL THERAPIST)
(321) 961-3805
Entity
Organization
Contact information
Practice address
7125 TURNER RD STE 101, ROCKLEDGE, FL 32955-5726
(321) 961-3805
Mailing address
7125 TURNER RD STE 101, ROCKLEDGE, FL 32955-5726
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/06/2018
Last updated
02/06/2018
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