Organization
EQUEST PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WALZ MS PT (OWNER)
(941) 744-9046
Entity
Organization
Contact information
Practice address
506 4TH AVE W, PALMETTO, FL 34221-5203
(941) 729-1800
(941) 722-7844
Mailing address
2722 MANATEE AVE W STE 2, BRADENTON, FL 34205-4945
(941) 744-9046
(941) 567-4079
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT21392
FL
Other
Enumeration date
06/17/2014
Last updated
06/17/2014
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