Organization · NPI-2

Beachside Physical Therapy INC

Physical Therapist · Melbourne, FL

NPI number1346288974
StatusActive
Last updated in NPPESMay 25, 2023

Details

NPI
1346288974
Entity type
Organization (NPI-2)
Legal business name
Beachside Physical Therapy INC
Organization subpart
No
Enumeration date
Jun 4, 2006
Certification date
May 25, 2023
Last updated
May 25, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

13 E Melbourne Ave Ste A
Melbourne, FL 32901-5976

Phone 321-425-4321 · Fax 321-419-0334

Mailing address

660 E Eau Gallie Blvd Ste 106
Indian Harbour Beach, FL 32937-4252

Phone 321-773-5290 · Fax 321-773-5268

Authorized official

Gabriela Litt
Credentialing Coordinator
9516969353

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