HEFFERNAN PHYSICAL THERAPY INC
Physical Therapy in Panama City, FL

License number
Florida PT7288
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MRS. REBECCA HEFFERNAN PT
Title: PHYSICAL THERAPIST
Phone: (850) 769-1992
Address
Address
2335 State Ave Ste E, Panama City, FL 32405
National Provider ID: 1013210871
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HEFFERNAN PHYSICAL THERAPY, INC

2335 State Ave SUITE E, Panama City, FL 32405

Status:
Inactive
Industry:
Health Practitioner's Office
Inactive reason:
REINSTATEMENT
Registration:
Sep 27, 1999
Inactive since:
Oct 13, 2013
State ID:
P99000086471
Business type:
Florida Profit Corporation
Directors:
Troy M Heffernan (President), 2335 State Ave SUITE E, Panama City, FL 32405 (Physical),Rebecca Heffernan (Director), 2335 State Ave SUITE E, Panama City, FL 32405 (Physical)
Agent:
Alisa James,1004 Jenks Ave, Panama City, FL 32401 (Physical)
EIN:
59-3601390

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