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Contact Information

DEEP CREEK PHYSICAL THERAPY INC
18245 PAULSON DR
PORT CHARLOTTE, FL33954-1019
 Phone: 941-264-8215
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapist

225100000X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DEEP CREEK PHYSICAL THERAPY INC

NPI # 1780467969
LBN Legal business name DEEP CREEK PHYSICAL THERAPY INC
Authorized official ROBERT DOLATA - (PHYSICAL THERAPIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 08/14/2023
Last updated 01/03/2024 - About 2 years ago
Identifiers n/a
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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