Provider Demographics
NPI:1598390965
Name:WESLEY CHAPEL PHYSICAL THERAPY AND ASSOCIATES LLC
Entity Type:Organization
Organization Name:WESLEY CHAPEL PHYSICAL THERAPY AND ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVA
Authorized Official - Middle Name:
Authorized Official - Last Name:HALPERN
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:813-541-6075
Mailing Address - Street 1:2527 WINDGUARD CIR STE 101
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-7347
Mailing Address - Country:US
Mailing Address - Phone:813-640-0550
Mailing Address - Fax:813-640-0203
Practice Address - Street 1:2527 WINDGUARD CIR STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-7347
Practice Address - Country:US
Practice Address - Phone:813-640-0550
Practice Address - Fax:813-640-0203
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-06
Last Update Date:2020-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy