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FARHA ELIZABETH ADDISON PT, DPT

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1215492012

Individual Registrant:
 FARHA ELIZABETH ADDISON PT, DPT
Gender: F
Sole Proprietor

Location and contact information for practice:
255 59TH ST N  ST PETERSBURG, FL 33710-8539 US
Tel: 727-345-2775  Fax: --

Contact information for business:
9401 LARKBUNTING DR  TAMPA, FL 33647-2823 US
Tel: 813-758-2295  Fax: --

Registration Information:
NPI: 1215492012
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
FLPT25154

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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