Individual
DAVID JOHN STOCKHAUSEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
26850 S BAY DR, BONITA SPRINGS, FL 34134-4379
(239) 948-2600
Mailing address
19540 BOWRING PARK RD APT 104, FORT MYERS, FL 33967-5247
(239) 634-2648
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT40371
FL
Other
Enumeration date
06/13/2023
Last updated
05/22/2024
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