Organization
IN HOME PHYSICAL THERAPY
Active
Organization
IN HOME PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE CHERYL GRUSKY PT (PRESIDENT)
(954) 415-3892
Entity
Organization
Contact information
Practice address
11272 NW 71ST CT, PARKLAND, FL 33076-3866
(954) 415-3892
Mailing address
11272 NW 71ST CT, PARKLAND, FL 33076-3866
(954) 415-3892
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT12159
FL
Other
Enumeration date
09/14/2007
Last updated
09/14/2007
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