Provider Demographics
NPI:1629224506
Name:HURLEY, CAYCE (PHTSICAL THERAPIST)
Entity Type:Individual
Prefix:MRS
First Name:CAYCE
Middle Name:
Last Name:HURLEY
Suffix:
Gender:F
Credentials:PHTSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4320 LOWER PARK RD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6393
Mailing Address - Country:US
Mailing Address - Phone:407-492-3109
Mailing Address - Fax:
Practice Address - Street 1:4320 LOWER PARK RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6393
Practice Address - Country:US
Practice Address - Phone:407-492-3109
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 9607225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist