Potentia Therapeutics, LLC

NPI #1063910982 in Tampa, Florida

Provider Information

NPI Number
1063910982
Entity Type
Organization
Organization Name
Potentia Therapeutics, LLC
Primary Specialty
Physical Therapist
Enumeration Date
Jan 25, 2018
Last Updated
Apr 30, 2018

Practice Location

Address
2307 S DALE MABRY HWY STE F
City
Tampa
State
Florida
ZIP Code
33629-6322
Phone
(813) 374-9508

Authorized Official

Name
SHERRICE BROUSSARD ROSE
Title
OWNER
Phone
(813) 374-9508

Specialties & Taxonomy Codes

Specialty
Physical Therapist

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