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Organization
TAMPA BAY PHYSICAL THERAPY, LLC
Active
Organization
TAMPA BAY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BROOKE PEARCE BAEZ PT, DPT (PHYSICAL THERAPIST)
(352) 426-1751
Entity
Organization
Contact information
Practice address
13328 TELECOM DR, TEMPLE TERRACE, FL 33637-0938
(352) 426-1751
Mailing address
20110 BLUE DAZE AVE, TAMPA, FL 33647-2965
(352) 426-1751
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
08/21/2021
Last updated
05/02/2022
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