Organization
THERAPEDS PHYSICAL THERAPY SERVICES, INC.
Active
Other names
Therapeds, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES MARIA QUINONES PT (PRESIDENT)
(813) 494-2643
Entity
Organization
Contact information
Practice address
225 W BUSCH BLVD, SUITE #102, TAMPA, FL 33612-7945
(813) 935-3162
(813) 344-0965
Mailing address
225 W BUSCH BLVD, SUITE #102, TAMPA, FL 33612-7945
(813) 935-3162
(813) 344-0965
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT17136
FL
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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