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Organization

REESE PEDIATRIC PHYSICAL THERAPY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORAH JEAN REESE PT, DPT, MPA (OWNER/SOLE PROVIDER)
(808) 291-3489
Entity
Organization

Contact information

Practice address
1305 N BAY DR, LYNN HAVEN, FL 32444-3205
(808) 291-3489
(850) 610-6483
Mailing address
1305 N BAY DR, LYNN HAVEN, FL 32444-3205
(808) 291-3489
(850) 610-6483

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
261QP2000X
Physical Therapy Clinic/Center
Primary

Other

Enumeration date
01/05/2024
Last updated
01/05/2024
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