Organization
BAYONNE PHYSICAL THERAPY INC
Active
Other names
North Trail 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
4910 TAMIAMI TRL N, SUITE 204, NAPLES, FL 34103-3068
(239) 352-9884
(239) 352-8610
Mailing address
4910 TAMIAMI TRL N, SUITE 204, NAPLES, FL 34103-3068
(239) 352-9884
(239) 352-8610
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001764
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5757410003
MEDICARE DME
FL
01
—
6605214
GHI HEALTH INSURANCE
FL
01
—
CG7750
MEDICARE RAILROAD
FM
01
—
Y905N
BLUE CROSS & BLUE SHIELD
FL
Enumeration date
07/06/2006
Last updated
08/22/2020
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