Organization
BAYONNE PHYSICAL THERAPY INC
Active
Other names
Bonita Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE CORTESE P.T. (OWNER)
(239) 352-9884
Entity
Organization
Contact information
Practice address
9200 BONITA BEACH ROAD, SUITE 103, BONITA SPRINGS, FL 34135-4277
(239) 949-9599
(239) 947-9347
Mailing address
5263 GOLDEN GATE PKWY, UNITE E, NAPLES, FL 34116-7601
(239) 352-9884
(239) 352-8610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
042638
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG7750
MEDICARE RAILROAD
FL
01
—
Y908C
BCBS
FL
Enumeration date
07/10/2006
Last updated
08/22/2020
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