Organization
BARWISMETHODS OF PORT ST LUCIE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS LUCIUS PT, DPT, CSCS (NAT DIRECTOR OF INJURY RECOVERY)
(248) 921-2282
Entity
Organization
Contact information
Practice address
525 NW PEACOCK BLVD, PORT SAINT LUCIE, FL 34986-2210
(772) 871-2123
Mailing address
525 NW PEACOCK BLVD, PORT SAINT LUCIE, FL 34986-2210
(772) 871-2123
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/24/2016
Last updated
05/24/2016
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