Organization
REVOLUTION PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA YOUNG (VICE PRESIDENT)
(407) 701-0242
Entity
Organization
Contact information
Practice address
141 NW 20TH ST, BOCA RATON, FL 33431-7966
(772) 486-0414
Mailing address
5253 MAGELLAN WAY W, DELRAY BEACH, FL 33484-1358
(407) 701-0242
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2021
Last updated
09/27/2021
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