Organization
MOVEMENT DRIVEN PERFORMANCE PHYSIOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY GOLDBERGER PT, DPT (OWNER, PT)
(786) 201-3825
Entity
Organization
Contact information
Practice address
44 SPARROW SONG PL, ST AUGUSTINE, FL 32095-7590
(786) 201-3825
Mailing address
44 SPARROW SONG PL, ST AUGUSTINE, FL 32095-7590
(786) 201-3825
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2022
Last updated
01/21/2022
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