Organization
AZ PT INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE J WOJNO DPT (DIRECTOR/PHYSICAL THERAPIST)
(786) 258-3763
Entity
Organization
Contact information
Practice address
10570 S US HIGHWAY 1, SUITE 101, PORT ST LUCIE, FL 34952-5606
(772) 212-7436
(772) 212-7482
Mailing address
10570 S US HIGHWAY 1, SUITE 101, PORT ST LUCIE, FL 34952-5606
(771) 212-7436
(772) 212-7482
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
22612
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006732700
—
FL
Enumeration date
04/08/2016
Last updated
09/08/2016
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