Organization
NEUROMUSCULAR THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN WILLIS (OWNER/VP)
(941) 312-6142
Entity
Organization
Contact information
Practice address
7222 S TAMIAMI TRL STE 105, SARASOTA, FL 34231-5569
(941) 312-6142
(941) 993-1520
Mailing address
PO BOX 19227, SARASOTA, FL 34276-2227
(941) 312-6142
(941) 993-1520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
03/27/2015
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