Provider Demographics
NPI:1265020564
Name:CORE STRONG PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:CORE STRONG PHYSICAL THERAPY LLC
Other - Org Name:CORE STRONG PHYSICAL THERAPY LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VALENTYNA
Authorized Official - Middle Name:
Authorized Official - Last Name:NESTEROVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-701-1287
Mailing Address - Street 1:141 NW 20TH ST STE G2
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-7964
Mailing Address - Country:US
Mailing Address - Phone:954-701-1287
Mailing Address - Fax:
Practice Address - Street 1:141 NW 20TH ST STE G2
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7964
Practice Address - Country:US
Practice Address - Phone:954-701-1287
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-04
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy