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Organization
REQUEST PHYSICAL THERAPY INC
Active
Organization
REQUEST PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN WALZ MPT (OWNER)
(941) 744-9046
Entity
Organization
Contact information
Practice address
2722 MANATEE AVE W, SUITE 2, BRADENTON, FL 34205-4945
(941) 744-9046
Mailing address
2722 MANATEE AVE W, SUITE 2, BRADENTON, FL 34205-4945
(941) 744-9046
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT20347
FL
Other
Enumeration date
09/22/2006
Last updated
01/12/2009
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