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1851022933
HOUSE OF ATHLETE TAMPA LLC
TAMPA, FL
NPI
1851022933
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Entity Type
Organization
Authorized Contact
VALERIE MCKAY
Credentialing Specialist
813-601-9036
Organization Subpart ?
No
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2022-06-21
Last Update Date
2022-06-21
Business Address
HOUSE OF ATHLETE TAMPA LLC
6912 ASPHALT AVE
TAMPA, FL 33614-3625
Phone number: 262-488-0118
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Mailing Address
HOUSE OF ATHLETE TAMPA LLC
6912 ASPHALT AVE
TAMPA, FL 33614-3625
Phone number: 262-488-0118
Copy
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