Physical Therapy Internet P.a.

Organization Active NPI Physical Therapist · Indiantown, FL

NPI 1114256179 · NPPES record last updated Feb 5, 2014

Key facts

NPI
1114256179
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 225100000X
License
PT10426 (FL)
Legal business name
PHYSICAL THERAPY INTERNET P.A.
Practice address
15516 SW Osceola St
Suite B
Indiantown, FL 34956-3414
Phone
(772) 597-1112
Fax
(772) 597-1116
NPI assigned
Dec 21, 2009
Organization subpart
No

Authorized official

Name
Mr. Muhammad Syed Nooruddin, P.T.
Title
Director of Rehabilitation
Phone
(772) 597-1112

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP
225100000X PT10426 FL Yes

Addresses

Primary practice location

15516 SW Osceola St
Suite B
Indiantown, FL 34956-3414

Mailing address

15516 SW Osceola St
Suite B
Indiantown, FL 34956-3414
Phone (772) 597-1112

Other names

  • Physical Therapy of Indiantown Doing business as

Other providers in Indiantown, FL

All providers in Indiantown, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.