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Organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES TRINITY LLC
Active
Organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES TRINITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH PATTERSON (CHIEF OF COMPLIANCE, PRIVACY AND SE)
(813) 690-4414
Entity
Organization
Contact information
Practice address
11157 TRINITY BLVD, TRINITY, FL 34655
(813) 381-6778
Mailing address
3903 NORTHDALE BLVD STE 111W, TAMPA, FL 33624-1853
(813) 381-6778
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/21/2017
Last updated
11/21/2017
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