Organization
CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Organization
CHIEF PHYSICAL THERAPY AND SPORTS MEDICINE LLC
Active
Other names
South Florida Physical Therapy and Sports Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
CARSON KUTUCHIEF P.T. (MANAGING MEMBER/OWNER)
(954) 256-9052
Entity
Organization
Contact information
Practice address
805 SE 3RD AVE, SUITE 2, FORT LAUDERDALE, FL 33316-1105
(954) 256-9052
(954) 533-5275
Mailing address
224 SE 9TH ST, FORT LAUDERDALE, FL 33316-1020
(954) 256-9052
(954) 533-5275
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
FL
261QP2000X
Physical Therapy Clinic/Center
Primary
—
FL
Other
Enumeration date
07/02/2015
Last updated
03/23/2022
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