Organization
OCEANSIDE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN LESLIE GRAHAM M.P.T. (PRESIDENT)
(772) 283-3820
Entity
Organization
Contact information
Practice address
931 SE OCEAN BLVD, STE A, STUART, FL 34994
(772) 283-3820
(772) 283-3825
Mailing address
931 SE OCEAN BLVD, STE A, STUART, FL 34994
(772) 283-3820
(772) 283-3825
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT 17379
FL
Other
Enumeration date
05/20/2006
Last updated
09/06/2023
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