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Organization
TIDEWATER PHYSICAL THERAPY ASSOCIATES LLC
Active
Organization
TIDEWATER PHYSICAL THERAPY ASSOCIATES LLC
Active
Other names
Tidewater Physical Therapy Associates LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANK FEDORCZYK PT,DPT (OWNER)
(215) 962-9557
Entity
Organization
Contact information
Practice address
6009 AMBERLY DR, BRADENTON, FL 34208-4545
(215) 962-9557
Mailing address
6009 AMBERLY DR, BRADENTON, FL 34208-4545
(215) 962-9557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Enumeration date
03/15/2021
Last updated
03/15/2021
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