Organization
BAYONNE PHYSICAL THERAPY INC
Active
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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