Lordex Spine Institute
Clinic/Center, Physical Therapy in Fort Walton Beach, FL. Organization (NPI-2).
NPI number1750485751
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1750485751
- Entity type
- Organization (NPI-2)
- Legal business name
- Lordex Spine Institute
- Organization subpart
- No
- Enumeration date
- Sep 11, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2000X | Clinic/Center, Physical Therapy | – | – | Yes |
Other names
- Lordex Spine Institute (Doing Business As)
Practice location
928 Mar Walt Drive ESuite 201
Fort Walton Beach, FL 32547
Phone 850-862-5588 · Fax 850-862-6015
Mailing address
928 Mar Walt Drive ESuite 201
Fort Walton Beach, FL 32547
Phone 850-862-5588 · Fax 850-862-6015
Authorized official
Mildred Jean Lee
Supervisor
8508625588
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All 8 Physical Therapy Clinic/Center providers in Fort Walton Beach · All 1,854 providers in Fort Walton Beach
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