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1386274504
PREMIER PHYSICAL THERAPY & SPORTS MEDICINE
PORT SAINT LUCIE, FL
NPI
1386274504
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Entity Type
Organization
Authorized Contact
JEFFREY ALAN TUCKER
Owner
772-335-7966
Organization Subpart ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2020-01-16
Last Update Date
2020-01-16
Business Address
PREMIER PHYSICAL THERAPY & SPORTS MEDICINE
4007 SW PORT ST LUCIE BLVD STE 6
PORT SAINT LUCIE, FL 34953-5679
Phone number: 772-335-7966
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Mailing Address
PREMIER PHYSICAL THERAPY & SPORTS MEDICINE
PO BOX 8600
PORT SAINT LUCIE, FL 34985-8600
Phone number:
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