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1417671645
BREVARD PHYSICAL THERAPY LLC
MELBOURNE, FL
NPI
1417671645
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Entity Type
Organization
Authorized Contact
ERIK NELSON
Owner
321-848-7695
Organization Subpart ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
Enumeration Date
2022-09-30
Last Update Date
2022-09-30
Business Address
BREVARD PHYSICAL THERAPY LLC
7756 MANGO GROVE AVE
MELBOURNE, FL 32904-2133
Phone number: 321-848-7695
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Mailing Address
BREVARD PHYSICAL THERAPY LLC
7756 MANGO GROVE AVE
MELBOURNE, FL 32904-2133
Phone number: 321-848-1893
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