Organization
AGILITY REHABILITATION AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN LAMANIA COTA (MANAGING MEMBER)
(941) 751-3621
Entity
Organization
Contact information
Practice address
5997 CORAL WAY, BRADENTON, FL 34207-4720
(941) 751-3621
Mailing address
5997 CORAL WAY, BRADENTON, FL 34207-4720
(941) 751-3621
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA9578
FL
225100000X
Physical Therapist
Primary
PT16707
FL
225X00000X
Occupational Therapist
OT12569
FL
Other
Enumeration date
09/22/2010
Last updated
09/22/2010
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