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Contact Information

BONITA SPRINGS SPORTS & PHYSICAL THERAPY CENTER INC
26201 S TAMIAMI TRL
BONITA SPRINGS, FL34134
 Phone: 239-498-0558
 Fax: 239-498-0557
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for BONITA SPRINGS SPORTS PHYSICAL THERAPY CENTER INC · (Female)

NPI Number 1104893361
Status Active
Credentials
Entity Individual
Enumeration date 03/07/2006
Last updated 03/02/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • Other Y905Q BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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