Organization
MOUNT DORA PHYSICAL THERAPY SPECIALISTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM DAVID MOULDER P.T. (DIRECTOR)
(352) 729-3565
Entity
Organization
Contact information
Practice address
2012 N DONNELLY ST, MOUNT DORA, FL 32757-2824
(352) 729-3565
Mailing address
PO BOX 1478, MOUNT DORA, FL 32756-1478
(352) 729-3565
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
P11000098797
FL
Other
Enumeration date
01/26/2012
Last updated
06/05/2013
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