All Brevard County Therapy Staffing INC.
Physical Therapist in Melbourne, FL. Organization (NPI-2).
NPI number1396404927
StatusActive
Last updated in NPPESJul 10, 2022
Details
- NPI
- 1396404927
- Entity type
- Organization (NPI-2)
- Legal business name
- All Brevard County Therapy Staffing INC.
- Organization subpart
- No
- Enumeration date
- Dec 10, 2021
- Certification date
- Jul 10, 2022
- Last updated
- Jul 10, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
| 225X00000X | Occupational Therapist | – | – | |
| 235Z00000X | Speech-Language Pathologist, | – | – |
Practice location
711 Wickham Lakes DrMelbourne, FL 32940-2227
Phone 321-917-4435
Mailing address
711 Wickham Lakes DrMelbourne, FL 32940-2227
Phone 321-917-4435
Authorized official
Brian Joseph Balgo
Owner
3219174435
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