Individual
AMBAR STEPHANIE DA CUNHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3501 HANCOCK BRIDGE PKWY, FORT MYERS, FL 33903-7126
(239) 217-5900
Mailing address
3501 HANCOCK BRIDGE PKWY, FORT MYERS, FL 33903-7126
(239) 217-5900
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
24742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05
—
FL
Enumeration date
10/04/2021
Last updated
10/04/2021
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