Organization
BREVARD PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIK NELSON DPT (OWNER)
(321) 848-7695
Entity
Organization
Contact information
Practice address
7756 MANGO GROVE AVE, MELBOURNE, FL 32904-2133
(321) 848-7695
Mailing address
7756 MANGO GROVE AVE, MELBOURNE, FL 32904-2133
(321) 848-1893
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
09/30/2022
Last updated
09/30/2022
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