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Organization

DEDICATED PHYSICAL THERAPY AND WELLNESS LLC

Active
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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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