Organization
ON SITE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY NOLIN (PRESIDENT)
(561) 632-2160
Entity
Organization
Contact information
Practice address
11550 MIRASOL WAY OFC, PALM BEACH GARDENS, FL 33418-6208
(561) 776-4949
(561) 855-4321
Mailing address
2032 ASCOTT RD, NORTH PALM BEACH, FL 33408-2102
(561) 632-2160
(561) 842-6458
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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