Organization
DEDICATED PHYSICAL THERAPY AND WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW J PARRILLO DPT (OWNER/PHYSICAL THERAPIST)
(845) 545-7778
Entity
Organization
Contact information
Practice address
16131 HAMPTON CROSSING DR, WINTER GARDEN, FL 34787-9261
(321) 609-8870
Mailing address
16131 HAMPTON CROSSING DR, WINTER GARDEN, FL 34787-9261
(321) 609-8870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101583100
—
FL
Enumeration date
06/19/2021
Last updated
06/19/2021
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