Organization
FRUITFUL WOMB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA MAREE BROCKHOUSE DPT (OWNER)
(813) 690-2606
Entity
Organization
Contact information
Practice address
5032 7TH ST, ZEPHYRHILLS, FL 33542-2132
(352) 942-0933
Mailing address
29710 BIRDS EYE DR, WESLEY CHAPEL, FL 33543-9525
(813) 690-2606
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2021
Last updated
04/24/2021
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