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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