Organization
SPORTSEDGE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGIDA FENELON CPC (OFFICE MANAGER)
(954) 451-3010
Entity
Organization
Contact information
Practice address
2825 N STATE ROAD 7 STE 204, MARGATE, FL 33063-5737
(954) 451-3002
Mailing address
PO BOX 11147, FORT LAUDERDALE, FL 33339-1147
(954) 451-3002
(954) 581-9906
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
10/21/2019
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