Organization
ENEBERG PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM ENEBERG PT (PHYSICAL THERAPIST/OWNER)
(615) 448-7287
Entity
Organization
Contact information
Practice address
2975 67TH WAY N, SAINT PETERSBURG, FL 33710-3136
(615) 448-7287
Mailing address
2975 67TH WAY N, SAINT PETERSBURG, FL 33710-3136
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
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Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1255844916
I DO NOT KNOW WHAT THIS IS.
—
Enumeration date
09/21/2020
Last updated
02/01/2021
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