Organization
ADVANCED PHYSICAL THERAPY OF ENGLEWOOD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DEVINE P.T. (OWNER)
(941) 474-6610
Entity
Organization
Contact information
Practice address
272 S INDIANA AVE, ENGLEWOOD, FL 34223-3309
(941) 474-6610
(941) 474-6620
Mailing address
272 S INDIANA AVE, ENGLEWOOD, FL 34223-3309
(941) 474-6610
(941) 474-6620
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4482146
AETNA HMO ONLY
FL
01
—
Y906T
BCBS FACILITY GROUP
FL
Enumeration date
11/21/2006
Last updated
08/31/2007
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