Organization
COMPREHENSIVE PAIN RELIEF INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUTH M PANDOLPH PT (PHYSICAL THERAPIST / PRESIDENT)
(407) 556-3905
Entity
Organization
Contact information
Practice address
305 COMMERCE CENTER DR, SAINT CLOUD, FL 34769-1549
(407) 556-3905
(407) 556-3906
Mailing address
305 COMMERCE CENTER DR, SAINT CLOUD, FL 34769-1549
(407) 556-3905
(407) 556-3906
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT10579
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245289032
INDIVIUAL NPI
—
Enumeration date
01/25/2010
Last updated
12/17/2010
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