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Organization

FOSSITT THERAPY SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LAWRENCE ALLEN FOSSITT MPT (PRESIDENT)
(407) 328-5420
Entity
Organization

Contact information

Practice address
2015 S MAPLE AVE, SANFORD, FL 32771-3361
(407) 328-5420
(407) 328-5430
Mailing address
289 BRASSINGTON DR, DEBARY, FL 32713-2138
(407) 792-8590
(407) 328-5430

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
OT 10292
FL
261QM1300X
Multi-Specialty Clinic/Center
Primary
PT 19048
FL
261QM1300X
Multi-Specialty Clinic/Center
SA 1721
FL

Other

Enumeration date
05/17/2006
Last updated
01/17/2012
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