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Organization
MYOFASCIAL THERAPY INC
Active
Organization
MYOFASCIAL THERAPY INC
Active
Other names
MF Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY LYNN FELLENZ OTR (PRESIDENT)
(239) 592-6100
Entity
Organization
Contact information
Practice address
5691 NAPLES BLVD, NAPLES, FL 34109-2023
(239) 592-6100
(239) 592-6156
Mailing address
5691 NAPLES BLVD, NAPLES, FL 34109-2023
(239) 592-6100
(239) 592-6156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 7400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811167700
—
FL
Enumeration date
02/11/2007
Last updated
10/24/2024
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