Provider Demographics
NPI:1427619311
Name:HOUSE CALLS PHYSICAL THERAPISTS OF TAMPA BAY LLC
Entity type:Organization
Organization Name:HOUSE CALLS PHYSICAL THERAPISTS OF TAMPA BAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARTNOYUTE
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:732-991-0657
Mailing Address - Street 1:2090 SWAN LN
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-6272
Mailing Address - Country:US
Mailing Address - Phone:732-991-0657
Mailing Address - Fax:
Practice Address - Street 1:2090 SWAN LN
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34683-6272
Practice Address - Country:US
Practice Address - Phone:732-991-0657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-22
Last Update Date:2019-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty