Provider Demographics
NPI:1831751114
Name:TRANSITIONS PHYSICAL THERAPY
Entity type:Organization
Organization Name:TRANSITIONS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAMBRAUSKAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-446-2328
Mailing Address - Street 1:142 W LAKEVIEW AVE STE 1040
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2903
Mailing Address - Country:US
Mailing Address - Phone:407-446-2328
Mailing Address - Fax:
Practice Address - Street 1:142 W LAKEVIEW AVE STE 1040
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746-2903
Practice Address - Country:US
Practice Address - Phone:407-446-2328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-08
Last Update Date:2019-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy