Individual
BRIAN LEE BOCHETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
6314 WHISKEY CREEK DR STE D, FORT MYERS, FL 33919-8762
(239) 432-0556
(239) 432-9727
Mailing address
7 E BRAMAN CT, FORT MYERS, FL 33901-6711
(239) 340-3597
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT25780
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT25780
STATE OF FLORIDA
FL
Enumeration date
06/08/2011
Last updated
06/08/2011
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