Organization
ELITE PHYSIO CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL HENKELMAN PT (OWNER/MANAGER)
40792496332
Entity
Organization
Contact information
Practice address
30 SKYLINE DR, LAKE MARY, FL 32746-2122
(407) 792-0031
(407) 241-4992
Mailing address
30 SKYLINE DR, LAKE MARY, FL 32746-6201
(407) 792-0031
(407) 241-4992
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
FL0009941
FL
Other
Enumeration date
01/08/2016
Last updated
05/10/2016
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