Organization
BACK TO NORMAL PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA CHASE PT (PRESIDENT)
(727) 362-6866
Entity
Organization
Contact information
Practice address
465 2ND AVE N STE A, SAINT PETERSBURG, FL 33701-3201
(727) 362-6866
Mailing address
465 2ND AVE N STE A, SAINT PETERSBURG, FL 33701-3201
(727) 362-6866
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13989
FL
225700000X
Massage Therapist
MA39620
FL
Other
Enumeration date
02/28/2017
Last updated
02/28/2017
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