Organization
RENEWED PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD EVANS PT (PRESIDENT)
(954) 475-9734
Entity
Organization
Contact information
Practice address
17557 CLARIDGE OVAL W, BOCA RATON, FL 33496-1336
(954) 609-6432
Mailing address
11950 NW 6TH ST, PLANTATION, FL 33325-1800
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
03/13/2018
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