Organization
ADVANCED PHYSICAL THERAPY OF PALMETTO INC
Active
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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