Organization
PROACTIVE PHYSICAL THERAPY OF WESLEY CHAPEL INC
Active
Organization
PROACTIVE PHYSICAL THERAPY OF WESLEY CHAPEL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH HISAMOTO (BUSINESS MANAGER)
(813) 979-4819
Entity
Organization
Contact information
Practice address
27311 WESLEY CHAPEL BLVD, WESLEY CHAPEL, FL 33544-4287
(813) 907-7774
(813) 907-8774
Mailing address
27311 STATE ROAD 54, WESLEY CHAPEL, FL 33544-7428
(813) 907-7774
(813) 907-8774
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
09/27/2007
Last updated
05/14/2008
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