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Leap Pediatric Therapy And Sports Medicine PLLC

Clinic/Center, Physical Therapy in Plantation, FL. Organization (NPI-2).

NPI number1497374367
StatusActive
Last updated in NPPESApr 10, 2020

Details

NPI
1497374367
Entity type
Organization (NPI-2)
Legal business name
Leap Pediatric Therapy And Sports Medicine PLLC
Organization subpart
No
Enumeration date
Apr 10, 2020
Certification date
Apr 10, 2020
Last updated
Apr 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QP2000X Clinic/Center, Physical Therapy––Yes

Practice location

700 Sw 78th Ave Apt 423
Plantation, FL 33324-3372

Phone 443-286-3937

Mailing address

700 Sw 78th Ave Apt 423
Plantation, FL 33324-3372

Phone 443-286-3937

Authorized official

Alicia Teeters
Owner/ Doctor Of Physical Therapy
4432863937

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