Organization
BONITA SPRINGS SPORTS & PHYSICAL THERAPY CENTER INC
Active
Organization
BONITA SPRINGS SPORTS & PHYSICAL THERAPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SANDRA L KLASSEN MS PT AT C (OWNER PRES PHYSICAL THERAPIST)
(239) 498-0558
Entity
Organization
Contact information
Practice address
26201 S TAMIAMI TRL, BONITA SPRINGS, FL 34134
(239) 498-0558
(239) 498-0557
Mailing address
26201 S TAMIAMI TRL, BONITA SPRINGS, FL 34134
(239) 498-0558
(239) 498-0557
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y905Q
BCBS
—
Enumeration date
03/07/2006
Last updated
03/02/2010
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