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Organization

BEACHWAY THERAPY TREATMENT CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. OLIVIA MARIE HOLMES (OFFICE MANAGER)
(561) 251-8582
Entity
Organization

Contact information

Practice address
705 BOND WAY STE B, DELRAY BEACH, FL 33483-5826
(561) 251-8582
Mailing address
705 BOND WAY STE B, DELRAY BEACH, FL 33483-5826
(561) 251-8582

Taxonomy

Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
800026636
FL

Other

Enumeration date
12/27/2012
Last updated
12/27/2012
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