Individual
MONIQUE LISA LAVERTU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1155 ENCORE WAY, NAPLES, FL 34110-9172
(239) 598-1368
Mailing address
17445 LEBANON RD, FORT MYERS, FL 33967-2934
(270) 547-9570
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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