Organization
DECOMPRESSION AND SPINAL REHAB OF SWFL
Active
Organization
DECOMPRESSION AND SPINAL REHAB OF SWFL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN BARTLEY D.C. (CLINIC DIRECTOR)
(239) 947-7844
Entity
Organization
Contact information
Practice address
16517 VANDERBILT DR, SUITE 1, BONITA SPRINGS, FL 34134-7550
(239) 947-7844
(239) 947-6338
Mailing address
16517 VANDERBILT DR, SUITE 1, BONITA SPRINGS, FL 34134-7550
(239) 947-7844
(239) 947-6338
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH7598
FL
225100000X
Physical Therapist
Primary
PT4617
FL
332B00000X
Durable Medical Equipment & Medical Supplies
6185490001
FL
Other
Enumeration date
06/22/2007
Last updated
07/09/2009
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