Organization
CORA HEALTH SERVICES INC
Active
Other names
CORA Physical Therapy - Bonita Springs
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD C ROUSH (EXECUTIVE VICE PRESIDENT)
(419) 221-6712
Entity
Organization
Contact information
Practice address
24851 S TAMIAMI TRL STE 1, BONITA SPRINGS, FL 34134-7024
(239) 936-4404
(239) 936-5156
Mailing address
1110 SHAWNEE RD, LIMA, OH 45805-3529
(419) 221-6720
(419) 222-0507
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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