Country Club Pt PA
NPI #1578928420 in Venice, Florida
Provider Information
- NPI Number
- 1578928420
- Entity Type
- Organization
- Organization Name
- Country Club Pt PA
- Primary Specialty
- Physical Therapist - Geriatrics
- Enumeration Date
- Dec 19, 2015
- Last Updated
- Dec 19, 2015
Practice Location
Authorized Official
- Name
- LISA CORN
- Title
- OFFICE MANAGER
- Phone
- (941) 451-6689
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Geriatrics — Geriatrics |
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