Organization
DIMENSIONS PHYSICAL THERAPY AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERLENCIA WALKER-GONER P.T. (OWNER)
(228) 623-7411
Entity
Organization
Contact information
Practice address
6010 AMBASSADOR DR, TAMPA, FL 33615-3436
(228) 623-7411
Mailing address
6010 AMBASSADOR DR, TAMPA, FL 33615-3436
(228) 623-7411
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29586
PT
FL
Enumeration date
11/26/2018
Last updated
11/26/2018
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