Leading Edge Physical Therapy & Sports, Inc.

NPI 1003903261 - Physical Therapist - 225100000X

NPI Details
NPI 1003903261
Enumeration Date 10/09/2006
Last Updated 10/31/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name MIKE T MIKE
Position OWNER/ PHYSICAL THERAPIST
Phone (863) 688-1800
Fax (863) 688-1824
Practice Location
4406 SOUTH FLORIDA AVENUE
SUITE 16
LAKELAND FL, 33813-2182, US
Phone (863) 688-1800
Fax (863) 688-1824
Business Location
4406 S FLORIDA AVE
SUITE 16
LAKELAND FL, 33813-2172, US
Phone (863) 688-1800
Fax (863) 688-1824
Toxanomy
Taxonomy Code 225100000X
License State
License Number
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According to our database, Leading Edge Physical Therapy & Sports, Inc. NPI is 1003903261, taxonomy code is 225100000X Leading Edge Physical Therapy & Sports, Inc. physically located at 4406 South Florida Avenue, Lakeland FL, 33813-2182. NPI Number 1033115704 has the healthcare provider type.

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1003903261 NPI number is provided on an as is basis without warranty of any kind. 1003903261 is maintained by the National Plan & Provider Enumeration System. The contents of Leading Edge Physical Therapy & Sports, Inc. are for informational purposes only.