Organization
PRIME PT SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CYRIL PHILIP CHORATH (ADMINISTRATOR)
(954) 535-7676
Entity
Organization
Contact information
Practice address
2331 N STATE ROAD 7, SUITE 118, LAUDERDALE LAKES, FL 33313-3748
(954) 535-7676
(954) 535-2909
Mailing address
2331 N STATE ROAD 7, SUITE 118, LAUDERDALE LAKES, FL 33313-3748
(954) 535-7676
(954) 535-2909
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PTA16340
FL
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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