Organization
ANGEL HANDS PHYSICAL THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA I DAVILA PT (OWNER)
(772) 834-5167
Entity
Organization
Contact information
Practice address
121 NE TUNISON AVE, PORT SAINT LUCIE, FL 34983-1732
(772) 834-5167
Mailing address
121 NE TUNISON AVE, PORT SAINT LUCIE, FL 34983-1732
(772) 834-5167
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PT20263
FL
Other
Enumeration date
06/17/2010
Last updated
02/02/2011
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