Organization

Physical Therapy Wellness Group

Clinic/Center in Port Saint Lucie, FL(View on Map)

Legal Business Name

Physical Therapy Wellness Group

NPI Number

1023677630

NPI Type

Organization

Enumeration Date

06/07/2019

Specialties

(Taxonomies)

Code

261Q00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

10380 SW VILLAGE CENTER DR # 355
519 SW NAGLE PLACE

City

Port Saint Lucie
Port Saint Lucie

State

FL
FL

Postal Code

34987-1931
34953

Country

US
US

Telephone Number

(772) 209-1183
(772) 209-1183

Authorized Official

Name

Dr. Sperancia White

Title or Position

PHYSICAL THERAPIST/OWNER

Telephone Number

(772) 209-1183

Identifiers

Identifier

261Q00000X

Identifier State

FL

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/23/2020

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