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Organization

RURAL THERAPY SERVICES OF FLORIDA INC

Active
Other names
PALM COAST SPORTS MEDICINE & REHAB CENTER INC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. EDITH ELIZABETH LYNN-MCCOY OTD, OTR/L, CLT (OWNER/ADMINISTRATER)
(386) 445-5555
Entity
Organization

Contact information

Practice address
35 OLD KINGS RD N, PALM COAST, FL 32137-8227
(386) 445-5555
(386) 445-9800
Mailing address
35 OLD KINGS RD N, PALM COAST, FL 32137-8227
(386) 445-5555
(386) 445-9800

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
OT1549
FL
174400000X
Specialist
Primary
PT19692
FL
174400000X
Specialist
SA6443
FL

Other

Enumeration date
10/26/2006
Last updated
02/20/2014
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