Provider Demographics
NPI:1033886635
Name:PELVIC LINK PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:PELVIC LINK PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KEILA
Authorized Official - Middle Name:ESTHER
Authorized Official - Last Name:GONZALEZ
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:352-405-0363
Mailing Address - Street 1:1242 SE 15TH ST
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-4512
Mailing Address - Country:US
Mailing Address - Phone:786-252-8805
Mailing Address - Fax:
Practice Address - Street 1:606 SE 1ST AVE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2154
Practice Address - Country:US
Practice Address - Phone:352-405-0363
Practice Address - Fax:352-415-3185
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-23
Last Update Date:2022-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty