Organization
CHIPLEY PHYSICAL THERAPY, INC
Active
Organization
CHIPLEY PHYSICAL THERAPY, INC
Active
Other names
Absolute Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN ALONZO LAUREL (CEO)
(850) 638-3387
Entity
Organization
Contact information
Practice address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 638-3387
(850) 415-1967
Mailing address
1414 MAIN ST STE 3A, CHIPLEY, FL 32428-6951
(850) 638-3387
(850) 415-1967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13658
FL
225100000X
Physical Therapist
PT14591
FL
225100000X
Physical Therapist
PT23655
FL
225100000X
Physical Therapist
PT26409
FL
225100000X
Physical Therapist
PT27435
FL
Other
Enumeration date
11/15/2012
Last updated
11/15/2012
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