Organization
ADVANCED PHYSICAL THERAPY & REHAB, INC.
Active
Organization
ADVANCED PHYSICAL THERAPY & REHAB, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA TRACEY SOLESKY PT (OWNER)
(772) 466-9173
Entity
Organization
Contact information
Practice address
900 VIRGINIA AVE STE 2, FORT PIERCE, FL 34982-5882
(772) 466-9173
Mailing address
900 VIRGINIA AVE STE 2, FORT PIERCE, FL 34982-5882
(772) 466-9173
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y908E
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
09/21/2006
Last updated
07/07/2016
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