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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

NPI Number 1104893361
LBN Legal business name BONITA SPRINGS SPORTS & PHYSICAL THERAPY CENTER INC
Authorized official SANDRA KLASSEN - (OWNER PRES PHYSICAL THERAPIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2006
Last updated 03/02/2010 - About 16 years ago
Identifiers
Other Y905Q BCBS
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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