Individual
MR. EDGAR COMSON PENANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7331 COLLEGE PKWY, SUITE 230, FORT MYERS, FL 33907-5524
(239) 334-5300
Mailing address
7331 COLLEGE PKWY, SUITE 230, FORT MYERS, FL 33907-5524
(239) 334-5300
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00007217
FL
Other
Enumeration date
06/06/2013
Last updated
06/06/2013
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