Organization
SSL PT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SALVADOR LARA (SOLE MEMBER)
(689) 252-5062
Entity
Organization
Contact information
Practice address
1701 FERN CT, KISSIMMEE, FL 34746-3083
(689) 252-5062
Mailing address
1701 FERN CT, KISSIMMEE, FL 34746-3083
(689) 252-5062
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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