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Organization
THERAPEUTIC INTERVENTIONS OF WEST FLORIDA INC
Active
Organization
THERAPEUTIC INTERVENTIONS OF WEST FLORIDA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERYN GONZALEZ PHYSICAL THERAPIST (PRESIDENT)
(727) 481-1694
Entity
Organization
Contact information
Practice address
4760 E BAY DR STE D, CLEARWATER, FL 33764
(727) 481-1694
(727) 474-7985
Mailing address
2007 DODGE ST, CLEARWATER, FL 33760-1814
(727) 481-1694
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT0012196
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020381600
—
FL
Enumeration date
03/31/2007
Last updated
07/17/2018
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