Organization
REVOLUTION PERFORMANCE PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM TYSON YOUNG JR. DPT (OWNER/PHYSICAL THERAPIST)
(772) 486-0414
Entity
Organization
Contact information
Practice address
5253 MAGELLAN WAY W, DELRAY BEACH, FL 33484-1358
(772) 486-0414
Mailing address
5253 MAGELLAN WAY W, DELRAY BEACH, FL 33484-1358
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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