Organization
EXCELLENCE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RATI PORIYA PT (OWNER)
(281) 908-6480
Entity
Organization
Contact information
Practice address
2211 S HIGHWAY 77 STE 201, LYNN HAVEN, FL 32444-4641
(850) 252-1414
Mailing address
2211 S HIGHWAY 77 STE 201, LYNN HAVEN, FL 32444-4641
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/18/2020
Last updated
03/18/2020
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