Organization
WESTCHASE PHYSICAL THERAPY & MEDICAL SUPPLY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN PATRICK CREADON OTR/L (PRESIDENT/OWNER)
(813) 434-3960
Entity
Organization
Contact information
Practice address
4969 VAN DYKE RD, LUTZ, FL 33558-4813
(813) 443-4716
(813) 443-4720
Mailing address
12625 RACE TRACK RD, TAMPA, FL 33626-1331
(813) 343-3960
(813) 343-3965
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
HCC5810
FL
Other
Enumeration date
10/20/2010
Last updated
10/20/2010
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