Organization
SPORTS ORTHOPEDIC REHAB TEAM
Active
Organization
SPORTS ORTHOPEDIC REHAB TEAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN ALLEN BEARD I PT (PHYSICAL THERAPIST)
(727) 441-4549
Entity
Organization
Contact information
Practice address
812 CHESTNUT STREET, CLEARWATER, FL 33756
(727) 441-4549
Mailing address
16104 REDINGTON DR., REDINGTON BEACH, FL 33708
(210) 710-9279
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PT17700
FL
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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