Organization
DEEP CREEK PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ALLEN DOLATA II PT (PHYSICAL THERAPIST/OWNER)
(941) 264-8215
Entity
Organization
Contact information
Practice address
18245 PAULSON DR, PORT CHARLOTTE, FL 33954-1019
(941) 264-8215
Mailing address
18245 PAULSON DR, PORT CHARLOTTE, FL 33954-1019
(941) 264-8215
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
01/03/2024
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