Organization
PHYSICAL THERAPY ASSOC OF LEE CO
Active
Other names
Physical Therapy Associates
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA J FROST (EXECUTIVE DIRECTOR)
(239) 275-7444
Entity
Organization
Contact information
Practice address
3660 CENTRAL AVE, SUITE 12, FORT MYERS, FL 33901-7699
(239) 275-7444
(239) 275-8459
Mailing address
3660 CENTRAL AVE, SUITE 12, FORT MYERS, FL 33901-7699
(239) 275-7444
(239) 275-8459
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
HCC3773
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q42
BCBS
FL
Enumeration date
08/25/2005
Last updated
08/22/2020
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