Organization
ATOMIC SPORTS PHYSIO AND PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANNETTE PURVIS DPT (OWNER/PRACTITIONER)
(703) 350-2288
Entity
Organization
Contact information
Practice address
3510 CORDGRASS DR, VALRICO, FL 33596-9253
(703) 350-2288
Mailing address
3510 CORDGRASS DR, VALRICO, FL 33596-9253
(703) 350-2288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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