Provider Demographics
NPI:1689230831
Name:HARMONY LYMPH AND PELVIC PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:HARMONY LYMPH AND PELVIC PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER PT
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:FRANCISCO
Authorized Official - Last Name:GOULD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772-342-4490
Mailing Address - Street 1:5984 NW BAYNARD DR
Mailing Address - Street 2:
Mailing Address - City:PORT ST LUCIE
Mailing Address - State:FL
Mailing Address - Zip Code:34986-3610
Mailing Address - Country:US
Mailing Address - Phone:772-342-4490
Mailing Address - Fax:
Practice Address - Street 1:2959 W MIDWAY RD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-4956
Practice Address - Country:US
Practice Address - Phone:772-342-4490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-14
Last Update Date:2019-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty