Organization
AKTIVE MOTION PHYSICAL THERAPY INC
Active
Other names
Aktive Motion Physical Therapy and Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN DANIEL DORNEVIL PT., DPT (PHYSICAL THERAPIST/OWNER)
(239) 672-0174
Entity
Organization
Contact information
Practice address
4766 GOLDEN GATE PKWY STE 4, NAPLES, FL 34116-6935
(239) 280-0368
(239) 307-4116
Mailing address
343 5TH ST SW, NAPLES, FL 34117-2113
(239) 672-0174
(239) 307-4116
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
PT30933
FL
261QR0400X
Rehabilitation Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
03/28/2018
Last updated
08/19/2024
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