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1063910982
POTENTIA THERAPEUTICS, LLC
TAMPA, FL
NPI
1063910982
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Entity Type
Organization
Authorized Contact
SHERRICE BROUSSARD ROSE
Owner
813-374-9508
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2018-01-25
Last Update Date
2018-04-30
Business Address
POTENTIA THERAPEUTICS, LLC
2307 S DALE MABRY HWY STE F
TAMPA, FL 33629-6322
Phone number: 813-374-9508
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Mailing Address
POTENTIA THERAPEUTICS, LLC
2307 S DALE MABRY HWY STE F
TAMPA, FL 33629-6322
Phone number:
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