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1073913893
PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC
PENSACOLA, FL
NPI
1073913893
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Entity Type
Organization
Authorized Contact
TYLER RUSSELL STEVERSON
Owner
850-260-9016
Organization Subpart ?
No
Primary Taxonomy
251S00000X
Enumeration Date
2014-08-28
Last Update Date
2014-08-28
Business Address
PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC
7840 LILAC LN APT 508
PENSACOLA, FL 32514-7668
Phone number: 850-260-9016
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Mailing Address
PEDIATRIC THERAPIES OF NORTHWEST FLORIDA, LLC
7840 LILAC LN APT 508
PENSACOLA, FL 32514-7668
Phone number: 850-260-9016
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