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NPI Code Detail

MEDICARE: SW PHYSICAL THERAPY

MEDICARE: SW PHYSICAL THERAPY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1235310814
Entity Type Code : Organization
Provider Name (Legal Business Name) : SW PHYSICAL THERAPY
Provider Business Mailing Address
First Line : 5715 CANTOR AVE
Second Line :
City : NORTH PORT
State : FL
Zip : 34291-5620
Country : US
Telephone Number : 941-240-6251
Fax Number : 941-240-6251
Provider Business Practice Location Address
First Line : 5715 CANTOR AVE
Second Line :
City : NORTH PORT
State : FL
Zip : 34291-5620
Country : US
Telephone Number : 941-240-6251
Fax Number : 941-240-6251
Authorized Official
Title or Position : SECRETARY
Name : MR. MICHAEL FRANZ STIWICH
Credential : P.T.
Telephone Number : 941-240-6251
Provider Enumeration Date : 11/23/2007
Last Update Date : 11/23/2007

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Directions to “SW PHYSICAL THERAPY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.