Organization
ABSOLUTE PHYSICAL & AQUATTIC THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUBEN ALONZO LAUREL (MANAGER)
(850) 596-0218
Entity
Organization
Contact information
Practice address
625 W BALDWIN RD STE C, PANAMA CITY, FL 32405-3359
(850) 628-3393
(850) 415-1967
Mailing address
1695 MAIN ST, CHIPLEY, FL 32428-5992
(850) 638-3387
(850) 415-1967
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28367
FL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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