Organization
ADVANCED PHYSICAL THERAPY OF BRADENTON INC
Active
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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