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1679700355
LISA MARIE CHILDRESS
TAMPA, FL
NPI
1679700355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: FL PT 24749)
Enumeration Date
2009-06-19
Last Update Date
2009-06-19
Business Address
-- LISA MARIE CHILDRESS PT, DPT
14460 BRUCE B DOWNS BLVD
TAMPA, FL 33613-2612
Phone number: 813-977-5255
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Mailing Address
-- LISA MARIE CHILDRESS PT, DPT
4039 CACTUS NEEDLE LANE
WESLEY CHAPEL, FL 33544
Phone number: 813-395-2715
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