Organization
GENESIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PAHL DPT (PHYSICAL THERAPIST)
(954) 257-9379
Entity
Organization
Contact information
Practice address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
(813) 265-1600
Mailing address
518 W FLETCHER AVE, TAMPA, FL 33612-3419
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT24363
FL
Other
Enumeration date
08/28/2014
Last updated
08/28/2014
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