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Prestige Health & Performance

Physical Therapist, Orthopedic in Tampa, FL. Organization (NPI-2).

NPI number1164044590
StatusActive
Last updated in NPPESMay 7, 2020

Details

NPI
1164044590
Entity type
Organization (NPI-2)
Legal business name
Prestige Health & Performance
Organization subpart
No
Enumeration date
May 7, 2020
Certification date
May 7, 2020
Last updated
May 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2251X0800X Physical Therapist, Orthopedic––Yes

Other names

  • Prestige Physical Therapy (Doing Business As)

Practice location

20354 Chestnut Grove Dr
Tampa, FL 33647-3344

Phone 404-668-9560

Mailing address

20354 Chestnut Grove Dr
Tampa, FL 33647-3344

Authorized official

Dwagne J Haskins
Owner/Founder
4046689560

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