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Organization
ADVANCED PHYSICAL THERAPY & REHAB OF LEE, LLC
Active
Organization
ADVANCED PHYSICAL THERAPY & REHAB OF LEE, LLC
Active
Other names
Advanced Physical Therapy & Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA STREETER (VICE PRESIDENT)
(800) 699-9395
Entity
Organization
Contact information
Practice address
6314 WHISKEY CREEK DR STE D, FORT MYERS, FL 33919-8762
(239) 432-0556
(239) 432-9727
Mailing address
PO BOX 932184, ATLANTA, GA 31193-2184
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008812000
—
FL
01
—
362346700
FL DEPT OF LABOR
FL
01
—
6527110001
DMEPOS
FL
01
—
GG4
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
05/19/2006
Last updated
02/26/2024
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