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Contact Information

BREVARD PHYSICAL THERAPY LLC
7756 MANGO GROVE AVE
MELBOURNE, FL32904-2133
 Phone: 321-848-7695
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BREVARD PHYSICAL THERAPY LLC · (Female)

NPI Number 1417671645
Status Active
Credentials
Entity Individual
Enumeration date 09/30/2022
Last updated 09/30/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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