Organization
BAYONNE PHYSICAL THERAPY INC
Active
Other names
Golden Gate Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE CORTESE P.T. (OWNER)
(239) 352-9884
Entity
Organization
Contact information
Practice address
5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 34116-7601
(239) 352-9884
(239) 352-8610
Mailing address
5263 GOLDEN GATE PKWY, SUITE E, NAPLES, FL 34116-7601
(239) 352-9884
(239) 352-8610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
971359
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5757410004
MEDICARE DME
FL
01
—
9691212
GHI HEALTH INSURANCE
FL
01
—
CG7750
MEDICARE RAILROAD
FL
01
—
Y905N
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/06/2006
Last updated
08/22/2020
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