Provider Demographics
NPI:1073861472
Name:SAYLOR PHYSICAL THERAPY OF LAKE MARY LLC
Entity Type:Organization
Organization Name:SAYLOR PHYSICAL THERAPY OF LAKE MARY LLC
Other - Org Name:SAYLOR PHYSICAL THERAPY LLC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPY AIDE
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMII
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:PT AIDE
Authorized Official - Phone:561-670-0756
Mailing Address - Street 1:925 WILLISTON PARK PT STE 1001
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2114
Mailing Address - Country:US
Mailing Address - Phone:407-732-6926
Mailing Address - Fax:407-732-6928
Practice Address - Street 1:925 WILLISTON PARK PT STE 1001
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2114
Practice Address - Country:US
Practice Address - Phone:407-732-6926
Practice Address - Fax:407-732-6928
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-16
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty