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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