institution
Providence Pediatric Therapy
Pediatric Physical Therapist in Tampa, Florida
NPI 1477132579

Providence Pediatric Therapy is a Pediatric Physical Therapist based in Tampa, FL and is specialized in Pediatrics. Providence Pediatric Therapy practices in Tampa, FL. The NPI Number for Providence Pediatric Therapy is 1477132579 and holds a License No. (Florida).

The current practice location address for Providence Pediatric Therapy is 7616 W Courtney Campbell Cswy Unit 210, Tampa, FL and can be reached out via phone at 815-505-5545. You can also correspond with Providence Pediatric Therapy through the mailing address at 7616 W COURTNEY CAMPBELL CSWY UNIT 210, TAMPA, FL - 33607-1533 (mailing address contact number: 815-505-5545).

Location: 7616 W Courtney Campbell Cswy Unit 210, Tampa, FL, 33607-1533
institution
Provider Profile Details
NPI Number
1477132579
Provider Name
Providence Pediatric Therapy
Credential
Provider Entity Type
Organization
Address
7616 W Courtney Campbell Cswy Unit 210, Tampa, FL, 33607-1533
Phone Number
815-505-5545
Fax Number
Provider Enumeration Date
04/06/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OT20551 05 FL
institution
Provider Business Practice Location Address Details
Address
7616 W Courtney Campbell Cswy Unit 210
City
State
Zip
33607-1533
Phone Number
815-505-5545
Fax Number
person
Provider Business Mailing Address Details
Address
7616 W Courtney Campbell Cswy Unit 210
City
State
Zip
33607-1533
Phone Number
815-505-5545
Fax Number
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Pediatrics
Taxonomy
License No.
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Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.
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