Organization
AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC
Active
Organization
AGILITY PHYSICAL THERAPY & SPORTS PERFORMANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALAN DANIEL DALTON MPT, OCS (MANAGER)
(941) 468-3800
Entity
Organization
Contact information
Practice address
834 PINEBROOK RD, VENICE, FL 34285-7123
(941) 484-8107
(941) 484-5186
Mailing address
834 PINEBROOK RD, VENICE, FL 34285-7123
(941) 484-8107
(941) 484-5186
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
05/18/2010
Last updated
09/18/2013
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