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Organization
OLIVE N DEGUZMAN RPT PA
Active
Organization
OLIVE N DEGUZMAN RPT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MA OLIVIA NAJARRO DEGUZMAN PT (CEO/DIRECTOR OF REHAB)
(941) 629-5288
Entity
Organization
Contact information
Practice address
4054 BEAVER LN, SUITE 1-2, PORT CHARLOTTE, FL 33952-9296
(941) 629-5288
Mailing address
4054 BEAVER LN, SUITE 1-2, PORT CHARLOTTE, FL 33952-9296
(941) 629-5288
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT7844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8615
BLUE CROSS BLUE SHEILD
FL
Enumeration date
05/12/2006
Last updated
03/29/2010
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