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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