Organization
FOURTH TRIMESTER WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL MADERA PT,DPT (OWNER)
(813) 767-9716
Entity
Organization
Contact information
Practice address
711 CHANCELLAR DR, LUTZ, FL 33548-4512
(813) 336-1668
Mailing address
711 CHANCELLAR DR, LUTZ, FL 33548-4512
(813) 767-9716
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
10/19/2020
Last updated
10/19/2020
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