Individual
EMILY S LARGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
718 KANUGA DR, WEST PALM BEACH, FL 33401-7222
(561) 762-3105
(561) 828-0924
Mailing address
PO BOX 1311, WEST PALM BEACH, FL 33402-1311
(561) 762-3105
(561) 828-0924
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19954
FL
Other
Enumeration date
11/22/2006
Last updated
03/04/2010
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