Organization
COMMUNITY CHOICE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN JUSTE D.C (PARTNER)
(407) 574-3181
Entity
Organization
Contact information
Practice address
2500 W LAKE MARY BLVD, SUITE 108, LAKE MARY, FL 32746-3501
(407) 574-3181
Mailing address
3710 SAN JACINTO CIR, SANFORD, FL 32771-6124
(407) 574-3181
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22714
FL
Other
Enumeration date
10/02/2010
Last updated
01/27/2011
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