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Organization

FIRST LINE PHYSICAL THERAPY, PLLC

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Organization

FIRST LINE PHYSICAL THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD DOUGLAS JOHN PT, DPT (PHYSICAL THERAPIST/OWNER)
(727) 364-1501
Entity
Organization

Contact information

Practice address
29446 TANSY PASS, WESLEY CHAPEL, FL 33543-6579
(727) 364-1501
Mailing address
29446 TANSY PASS, WESLEY CHAPEL, FL 33543-6579
(813) 399-3963
(813) 602-5524

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
PT28541
FL

Other

Enumeration date
02/05/2018
Last updated
05/06/2020
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