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Organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES HYDE PARK LLC
Active
Organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES HYDE PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ANN PATTERSON PT (SECRETARY)
(813) 690-4414
Entity
Organization
Contact information
Practice address
1501 W CLEVELAND ST, TAMPA, FL 33606-1806
(813) 418-7350
Mailing address
6023 HAMMOCK WOODS DR, ODESSA, FL 33556-3330
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4616
FL
Other
Enumeration date
03/04/2010
Last updated
09/07/2010
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