Organization
AGEWELL SOUTH PHYSICAL THERAPY AND WELLNESS PA
Active
Other names
Agewell South
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN DRAGAN PT (CO-OWNER)
(914) 318-1304
Entity
Organization
Contact information
Practice address
5180 W ATLANTIC AVE, DELRAY BEACH, FL 33484-8103
(914) 318-1304
Mailing address
223 RIDGE RD, DOUGLASTON, NY 11363-1308
(914) 318-1304
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
PT 26314
FL
Other
Enumeration date
04/04/2011
Last updated
02/16/2012
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