Organization
FAMILY PHYSICAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIESSE O RIVERA P.T (PRESIDENT)
(813) 654-3808
Entity
Organization
Contact information
Practice address
704 W LUMSDEN RD, BRANDON, FL 33511-6260
(813) 654-3808
Mailing address
704 W LUMSDEN RD, BRANDON, FL 33511-6260
(813) 654-3808
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0005096
FL
Other
Enumeration date
09/13/2007
Last updated
02/04/2008
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