Organization
MOUNT DORA PHYSICAL THERAPY SPECIALISTS INC
Active
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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