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1649380064
PREMIER PHYSICAL THERAPY SPORT MEDICINE INC
PORT ST LUCIE, FL
NPI
1649380064
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Entity Type
Organization
Authorized Contact
JEFFREY ALAN TUCKER
Executive Director
772-335-7966
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2006-08-30
Last Update Date
2020-02-19
Business Address
PREMIER PHYSICAL THERAPY SPORT MEDICINE INC
519 NW LAKE WHITNEY PL SUITE 101
PORT ST LUCIE, FL 34986-1621
Phone number: 772-621-9313
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Mailing Address
PREMIER PHYSICAL THERAPY SPORT MEDICINE INC
PO BOX 8600
PORT ST LUCIE, FL 34985
Phone number: 772-335-7966
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