Envision Physical Therapy, INC
Clinic/Center in Lake Mary, FL. Organization (NPI-2).
NPI number1437301025
StatusActive
Last updated in NPPESApr 3, 2023
Details
- NPI
- 1437301025
- Entity type
- Organization (NPI-2)
- Legal business name
- Envision Physical Therapy, INC
- Organization subpart
- No
- Enumeration date
- Oct 15, 2008
- Certification date
- Apr 3, 2023
- Last updated
- Apr 3, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | PT17963 | FL | Yes |
Practice location
956 International Pkwy Ste 1580Lake Mary, FL 32746-5219
Phone 407-936-0314 · Fax 407-936-0316
Mailing address
956 International Pkwy Ste 1580Lake Mary, FL 32746-5219
Phone 407-936-0314 · Fax 407-936-0316
Authorized official
Judy Serafin
Owner
3214394594
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