Organization
LUTHERAN HAVEN THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER GARDUQUE RPT (DIRECTOR OF THERAPY SERVICES)
(407) 706-1271
Entity
Organization
Contact information
Practice address
2041 W. STATE RT 426, OVIEDO, FL 32765
(407) 706-1270
(407) 604-4495
Mailing address
2041 W. STATE RT 426, OVIEDO, FL 32765
(407) 706-1270
(407) 604-4495
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
12/19/2023
Last updated
12/20/2023
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