Organization
PT WITH TLC LLC
Active
Other names
PT WITH TLC LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DANIELA V MOORE (PRESIDENT)
(347) 200-8063
Entity
Organization
Contact information
Practice address
614 NW 25TH AVE, BOYNTON BEACH, FL 33426-8793
(347) 200-8063
(561) 237-7843
Mailing address
614 NW 25TH AVE, BOYNTON BEACH, FL 33426-8793
(347) 200-8063
(561) 237-7843
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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