Organization
EINSTEIN THERAPY CENTER, INC.
Active
Parent organization
FUNDAMENTAL THERAPY SOLUTIONS LAKE CITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
FUNDAMENTAL THERAPY SOLUTIONS LAKE CITY
Authorized official
ALICIA WHITE (CREDENTIALING SPECIALIST)
(352) 505-6363
Entity
Organization
Contact information
Practice address
229 SW MAIN BLVD, LAKE CITY, FL 32025-7049
(386) 515-3009
(352) 505-6383
Mailing address
229 SW MAIN BLVD, LAKE CITY, FL 32025-7049
(386) 515-3009
(352) 505-6383
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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