Provider Demographics
NPI:1467138487
Name:SANFORD PELVIC THERAPY AND WELLNESS LLC
Entity Type:Organization
Organization Name:SANFORD PELVIC THERAPY AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMEE
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:407-973-7674
Mailing Address - Street 1:202 DELESPINE DR
Mailing Address - Street 2:
Mailing Address - City:DEBARY
Mailing Address - State:FL
Mailing Address - Zip Code:32713-3008
Mailing Address - Country:US
Mailing Address - Phone:407-973-7674
Mailing Address - Fax:
Practice Address - Street 1:819 E 1ST ST STE 3
Practice Address - Street 2:
Practice Address - City:SANFORD
Practice Address - State:FL
Practice Address - Zip Code:32771-1467
Practice Address - Country:US
Practice Address - Phone:407-973-7674
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy