| NPI | 1689891749 |
|---|---|
| Other Name | RET PHYSICAL THERAPY & HEALTHCARE SPECIALISTS |
| Other Name | EASTSIDE PHYSICAL THERAPY |
| Other Name | EASTSIDE PHYSICAL THERAPY INC PS |
| Entity Type | Organization |
| Authorized Contact | DWAN DIAZ Credentialing Coordinator 813-560-8157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225100000X Physical Therapist |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment | |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2022-11-30 |