Organization
ADVANCED PHYSICAL THERAPY OF BRADENTON INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DEVINE P.T. (OWNER)
(941) 752-9719
Entity
Organization
Contact information
Practice address
5221 33RD ST E, BRADENTON, FL 34203-4330
(941) 752-9719
(941) 752-9739
Mailing address
5221 33RD ST E, BRADENTON, FL 34203-4330
(941) 752-9719
(941) 752-9739
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2239824
AETNA HMO ONLY
FL
01
—
90214
HEALTH PARTNERS
FL
01
—
BCBS OF FLORIDA
Y907K
FL
Enumeration date
11/21/2006
Last updated
08/31/2007
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