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Organization
WELLS PHYSICAL THERAPY, LLC
Active
Organization
WELLS PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEAN M WELLS DPT, PT, OCS, ATC (OWNER AND PT)
(904) 568-1156
Entity
Organization
Contact information
Practice address
15569 VALLECAS LN, NAPLES, FL 34110-2829
(904) 568-1156
Mailing address
15569 VALLECAS LN, NAPLES, FL 34110-2829
(904) 568-1156
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL4777
ATHLETIC TRAINER
FL
Enumeration date
02/22/2013
Last updated
01/30/2020
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