Organization
PHYSIOTHERAPY ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA PHILBECK (SR. GROUP BUSINESS MANAGER)
(813) 264-7734
Entity
Organization
Contact information
Practice address
6404 CORTEZ RD W, BRADENTON, FL 34210-2605
(941) 782-0201
Mailing address
3820 NORTHDALE BLVD STE 101A, TAMPA, FL 33624-1834
(813) 264-7734
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G89
BCBS
FL
Enumeration date
07/19/2006
Last updated
09/24/2007
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