Organization
ALL COAST THERAPY SERVICES OUTPATIENT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HORSLEY PT (OWNER)
(352) 326-4014
Entity
Organization
Contact information
Practice address
704 DOCTORS CT, LEESBURG, FL 34748-7366
(352) 365-1267
Mailing address
PO BOX 490210, LEESBURG, FL 34749-0210
(352) 326-4014
(352) 326-4126
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RS4
BLUE CROSS
FL
Enumeration date
04/04/2011
Last updated
04/04/2011
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