Organization
PHYSICAL THERAPY ASSOC OF LEE CO
Active
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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