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Organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES NORTHDALE LLC
Active
Organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES NORTHDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BETH ANN PATTERSON PT (CHIEF OF COMPLIANCE)
(813) 690-4494
Entity
Organization
Contact information
Practice address
3903 NORTHDALE BLVD, SUITE 111W, TAMPA, FL 33624-1864
(813) 418-7350
Mailing address
14004 ROOSEVELT BLVD STE 613, CLEARWATER, FL 33762-3819
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
01/26/2010
Last updated
12/08/2023
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