| |
6280 Central Ave Ste H2, St Petersburg, FL 33707-1429 | |
(800) 699-9395 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Rehabilitation |
Location | 6280 Central Ave Ste H2, St Petersburg, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
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1447012208 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Secondary |
261QR0400X | Clinic/center - Rehabilitation | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
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Po Box 932184, Atlanta, GA 31193-2184 Ph: () - | 6280 Central Ave Ste H2, St Petersburg, FL 33707-1429 Ph: (800) 699-9395 |