Organization
LAUREL PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROL WEIGHTMAN (CO-OWNER/DIRECTOR)
(386) 426-8327
Entity
Organization
Contact information
Practice address
433 N CAUSEWAY, NEW SMYRNA, FL 32169-5266
(386) 679-5471
Mailing address
116 CANAL ST STE D, NEW SMYRNA, FL 32168-7076
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
P1300025007
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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