Organization
REESE PEDIATRIC PHYSICAL THERAPY, LLC
Active
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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