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Organization

ADVANCED PHYSICAL THERAPY INC

Active
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Organization

ADVANCED PHYSICAL THERAPY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRUCE R WILLS MPT (PHYSICAL THERAPIST/OWNER)
(321) 676-2055
Entity
Organization

Contact information

Practice address
6050 BABCOCK ST SE, SUITE 5, PALM BAY, FL 32909-3996
(321) 676-2055
(321) 676-9928
Mailing address
6050 BABCOCK ST SE, SUITE 5, PALM BAY, FL 32909-3996
(321) 676-2055
(321) 676-9928

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 5799
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y3810
BCBS
FL
Enumeration date
05/20/2006
Last updated
01/11/2012
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