Organization
PHYSICAL THERAPY CONNECTION LLC
Active
Organization
PHYSICAL THERAPY CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAYA BEIN-NACHAL (CHIEF OF STAFF)
(857) 990-6111
Entity
Organization
Contact information
Practice address
8414 S FEDERAL HWY, PORT SAINT LUCIE, FL 34952-3306
(857) 990-6111
(833) 615-1065
Mailing address
177 HUNTINGTON AVE, STE 1703 PMB 82414, BOSTON, MA 02115-0594
(857) 220-8415
(772) 879-6650
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT18972
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008418800
—
FL
Enumeration date
11/02/2012
Last updated
08/18/2022
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