Organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES NORTHDALE LLC
Active
Parent organization
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES NORTHDALE LLC
Other names
Optimal Performance and Physical Therapies Citrus Park
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIMAL PERFORMANCE AND PHYSICAL THERAPIES NORTHDALE LLC
Authorized official
BETH ANN PATTERSON (PRACTICE ADMINISTRATOR)
(727) 475-5540
Entity
Organization
Contact information
Practice address
6633 GUNN HIGHWAY, TAMPA, FL 33625
(727) 475-5540
Mailing address
21756 STATE ROAD 54 STE 102, LUTZ, FL 33549-2905
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2021
Last updated
11/06/2023
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