Organization
BAIN COMPLETE WELLNESS LLC
Active
Other names
COMPLETE INJURY AND REHAB
Organization subpart
No
Provider details
NPI number
Authorized official
SUSANNE WITT (DIRECTOR OF OPERATIONS)
(813) 907-9898
Entity
Organization
Contact information
Practice address
2901 BUSCH LAKE BLVD, TAMPA, FL 33614-1860
(813) 936-7979
Mailing address
10323 CROSS CREEK BLVD STE E, TAMPA, FL 33647-2988
(813) 907-9898
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Enumeration date
09/20/2013
Last updated
07/28/2014
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