Organization
CLEARWATER PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE J LESTER DPT (PRESIDENT)
(727) 692-5115
Entity
Organization
Contact information
Practice address
2878 ROOSEVELT BLVD, CLEARWATER, FL 33760-1923
(727) 692-5115
(813) 354-4511
Mailing address
2878 ROOSEVELT BLVD, CLEARWATER, FL 33760-1923
(727) 692-5115
(813) 354-4511
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1235134529
WELLCARE
FL
05
—
1235134529
—
FL
Enumeration date
02/23/2019
Last updated
02/23/2019
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