Organization
FARESE PHYSICAL THERAPY CENTER, INC
Active
Organization
FARESE PHYSICAL THERAPY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATRICIA LEE FARESE MHS, MBA, PT, CHT (VICE PRESIDENT)
(727) 209-4545
Entity
Organization
Contact information
Practice address
7005 FOURTH STREET NORTH, SUITE 4, ST PETERSBURG, FL 33702
(727) 209-4545
(727) 209-4546
Mailing address
7005 FOURTH STREET NORTH, SUITE 4, ST PETERSBURG, FL 33702
(727) 209-4545
(727) 209-4546
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT4310
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
886130700
—
FL
Enumeration date
05/02/2006
Last updated
02/23/2022
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