Individual
BARTHOLOMEW J SHODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
216 SANTA BARBARA BLVD, CAPE CORAL, FL 33991-2031
(239) 573-9693
Mailing address
169 BUCKEYE AVE NW, PORT CHARLOTTE, FL 33952-9064
(941) 457-2133
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27763
FL
Other
Enumeration date
08/31/2017
Last updated
08/31/2017
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