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Organization
SOUTH VENICE PHYSICAL THERAPY
Active
Organization
SOUTH VENICE PHYSICAL THERAPY
Active
Other names
none
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH I TRIBIT (MGR)
(941) 375-8734
Entity
Organization
Contact information
Practice address
1600 ENGLEWOOD RD, ENGLEWOOD, FL 34223-1819
(941) 375-8734
(941) 375-8734
Mailing address
109 LAUREL RD E, NOKOMIS, FL 34275-5233
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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