Organization
BRIDGE OF HOPE
Active
Parent organization
FUNCTIONAL PHYSICAL THERAPY
Other names
Bridge of Hope
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUNCTIONAL PHYSICAL THERAPY
Authorized official
DR. ULYSSES D SINGLETON III DR (ADMINISTRATOR)
(407) 575-4636
Entity
Organization
Contact information
Practice address
1331 KEVSTIN DR, KISSIMMEE, FL 34744-5844
(407) 575-4636
(321) 250-7425
Mailing address
PO BOX 452878, KISSIMMEE, FL 34745-2878
(407) 575-4636
(321) 250-7425
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 21146
FL
225X00000X
Occupational Therapist
OT 13138
FL
235Z00000X
Speech-Language Pathologist
SA 10194
FL
Other
Enumeration date
11/18/2013
Last updated
11/18/2013
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