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Organization

TPD AND DDD LLC

Active
Other names
PERFORMANCE PHYSICAL THERAPY OF ORMOND BEACH
Organization subpart
No

Provider details

NPI number
Authorized official
TIMOTHY D'AVY P.T (OWNER)
(386) 615-6464
Entity
Organization

Contact information

Practice address
53 N OLD KINGS RD, SUITE A, ORMOND BEACH, FL 32174-9519
(386) 615-6464
(386) 615-1822
Mailing address
53 N OLD KINGS RD, SUITE A, ORMOND BEACH, FL 32174-9519
(386) 615-6464
(386) 615-1822

Taxonomy

Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT3807
FL

Other

Enumeration date
01/03/2008
Last updated
07/01/2008
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