Organization
AUTHENTIC PELVIC HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE PARK DPT (OWNER)
(612) 357-8764
Entity
Organization
Contact information
Practice address
3430 FAIRFIELD AVE S UNIT A, ST PETERSBURG, FL 33711-1700
(813) 642-3316
Mailing address
1142 46TH AVE N, ST PETERSBURG, FL 33703-3624
(612) 357-8764
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
12/04/2024
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