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Organization
OPTIMAL PERFORMANCE & PHYSICAL THERAPIES TYRONE, LLC
Active
Organization
OPTIMAL PERFORMANCE & PHYSICAL THERAPIES TYRONE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH PATTERSON PT (MANAGER)
(813) 690-4414
Entity
Organization
Contact information
Practice address
1700 66TH ST N STE 102, ST PETERSBURG, FL 33710-5510
(727) 475-5540
Mailing address
3903 NORTHDALE BLVD STE 111W, TAMPA, FL 33624-1853
(727) 475-5540
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT19911
PT LICENSE
FL
Enumeration date
02/13/2019
Last updated
02/13/2019
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