Organization
PRESTIGE HEALTH & PERFORMANCE
Active
Other names
Prestige Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DWAGNE J HASKINS DPT (OWNER/FOUNDER)
(404) 668-9560
Entity
Organization
Contact information
Practice address
20354 CHESTNUT GROVE DR, TAMPA, FL 33647-3344
(404) 668-9560
Mailing address
20354 CHESTNUT GROVE DR, TAMPA, FL 33647-3344
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
—
—
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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