Organization
AVONDALE PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ERIC HAGAN PTA (PRESIDENT)
(561) 346-8508
Entity
Organization
Contact information
Practice address
12471 SAWGRASS CT, WELLINGTON, FL 33414-4822
(451) 753-7480
(561) 753-7972
Mailing address
12471 SAWGRASS CT, WELLINGTON, FL 33414-4822
(451) 753-7480
(561) 753-7972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT8908
FL
Other
Enumeration date
01/18/2007
Last updated
08/17/2007
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