Organization
COLONIAL THERAPY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ALDEN HALL CH6817 (OWNER / PHYSICIAN)
(239) 275-3330
Entity
Organization
Contact information
Practice address
4531 DELEON ST STE 203, FORT MYERS, FL 33907-1280
(239) 275-3330
(239) 275-3339
Mailing address
4531 DELEON ST STE 203, FORT MYERS, FL 33907-1280
(239) 275-3330
(239) 275-3339
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
111NR0400X
FL
Other
Enumeration date
02/27/2008
Last updated
02/27/2008
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