Organization
MOTION FOR LIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY MCDANIEL (OWNER)
(386) 566-1502
Entity
Organization
Contact information
Practice address
315 S PALMETTO AVE, DAYTONA BEACH, FL 32114-4919
(386) 868-5219
Mailing address
5833 RIVERSIDE DR, PORT ORANGE, FL 32127-6431
(386) 566-1502
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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