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Doctors / FL
PHYSICAL THERAPIST IN PRIVATE PRACTICE
Graduated: 2023
NPI: 1790595932
875 WALLACE CT, SUIT C UNIT 1013
Lake Mary, FL 327462161
875 WALLACE CT, SUITE C (UNIT 1013)
LAKE MARY, FL 327462161
Source: CMS National Downloadable File, September 2026.