Organization
SOTERIA PHYSICAL THERAPY INC
Active
Other names
Ideal Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN-LEA YURKIEWICZ (BUSINESS OFFICE MANAGER)
(727) 531-4700
Entity
Organization
Contact information
Practice address
13787 BELCHER RD S, SUITE 140, LARGO, FL 33771-4065
(727) 531-4700
(727) 531-4799
Mailing address
13787 BELCHER RD S, SUITE 140, LARGO, FL 33771-4065
(727) 531-4700
(727) 531-4799
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7258782
AETNA
—
01
—
9563113
CIGNA
—
01
—
Y925G
BLUE CROSS BLUE SHEILD
FL
Enumeration date
02/22/2007
Last updated
03/17/2008
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