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NPI Code Detail

MEDICARE: MRS. KRISTINE LEE BELAIR

MEDICARE: MRS. KRISTINE LEE BELAIR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA19632FL

General Provider Information

NPI Number : 1407387129
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KRISTINE LEE BELAIR
Provider Business Mailing Address
First Line : 1750 N 50TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33619-3104
Country : US
Telephone Number : 813-247-4489
Fax Number :
Provider Business Practice Location Address
First Line : 1750 N 50TH ST
Second Line :
City : TAMPA
State : FL
Zip : 33619-3104
Country : US
Telephone Number : 813-247-4489
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 03/24/2017

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Directions to “ MRS. KRISTINE LEE BELAIR ” Practice Location

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