Organization
PERSONAL TOUCH FITTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTEN ANN HANAK P.T. (PRESIDENT)
(386) 882-1161
Entity
Organization
Contact information
Practice address
851 DUNLAWTON AVE, SUITE 201, PORT ORANGE, FL 32127-4233
(386) 761-8711
Mailing address
3131 VICTORY PALM DR, EDGEWATER, FL 32141-6129
(386) 882-1161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
PT11571
FL
Other
Enumeration date
10/13/2009
Last updated
10/13/2009
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