Provider Demographics
NPI:1720151723
Name:BODY OWNERS PHYSICAL THERAPY & WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:BODY OWNERS PHYSICAL THERAPY & WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:LILAH
Authorized Official - Middle Name:RUTH
Authorized Official - Last Name:BRAND
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:407-657-0903
Mailing Address - Street 1:3840 E SR 436
Mailing Address - Street 2:SUITE 1072
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-9998
Mailing Address - Country:US
Mailing Address - Phone:407-746-0000
Mailing Address - Fax:407-772-8154
Practice Address - Street 1:3840 E SR 436
Practice Address - Street 2:SUITE 1072
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-9998
Practice Address - Country:US
Practice Address - Phone:407-746-0000
Practice Address - Fax:407-772-8154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2010-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty