Organization
ADVANCED PHYSICAL THERAPY OF PALMETTO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN DEVINE P.T. (OWNER)
(941) 721-6111
Entity
Organization
Contact information
Practice address
908 RIVERSIDE DR, SUITE 430, PALMETTO, FL 34221-5035
(941) 721-6111
(941) 721-6119
Mailing address
908 RIVERSIDE DR, SUITE 430, PALMETTO, FL 34221-5035
(941) 721-6111
(941) 721-6119
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3631067
AETNA HMO ONLY
FL
01
—
Y906V
BCBS FACILITY GROUP
FL
Enumeration date
11/21/2006
Last updated
10/09/2007
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