Organization
TAMPA BAY PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BROOKE PEARCE BAEZ PT, DPT (PHYSICAL THERAPIST)
(352) 426-1751
Entity
Organization
Contact information
Practice address
13328 TELECOM DR, TEMPLE TERRACE, FL 33637-0938
(352) 426-1751
Mailing address
20110 BLUE DAZE AVE, TAMPA, FL 33647-2965
(352) 426-1751
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
08/21/2021
Last updated
05/02/2022
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