Organization
PEDS ORTHO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNETTE L HASSEN (PRACTICE ADMINISTRATOR)
(239) 432-5100
Entity
Organization
Contact information
Practice address
15821 HOLLYFERN CT, FORT MYERS, FL 33908-3732
(239) 432-5100
(239) 432-5135
Mailing address
15880 SUMMERLIN RD, STE 300 PMB 322, FORT MYERS, FL 33908-9612
(239) 432-5100
(239) 432-5135
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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