Organization
PHYSIO CHOICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOLALE TAIRU-CASWELL P.T. (OWNER)
(561) 718-7641
Entity
Organization
Contact information
Practice address
104 IBISCA TER, ROYAL PALM BEACH, FL 33411-4321
(561) 718-7641
(561) 214-4584
Mailing address
104 IBISCA TER, ROYAL PALM BEACH, FL 33411-4321
(561) 718-7641
(561) 214-4584
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
PT22907
FL
Other
Enumeration date
07/06/2010
Last updated
07/06/2010
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