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NPI Code Detail

MEDICARE: MS. PATRICIA ANN UNGER LPTA

MEDICARE: MS. PATRICIA ANN UNGER LPTA
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
1225200000XPhysical Therapy Assistant12523FL

General Provider Information

NPI Number : 1689801797
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICIA ANN UNGER LPTA
Provider Business Mailing Address
First Line : 21548 TAFT CT
Second Line : UNIT 202
City : ESTERO
State : FL
Zip : 33928-2931
Country : US
Telephone Number : 239-641-0876
Fax Number :
Provider Business Practice Location Address
First Line : 26850 S BAY DR
Second Line :
City : BONITA SPRINGS
State : FL
Zip : 34134-4379
Country : US
Telephone Number : 239-390-1351
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2009
Last Update Date : 04/12/2012

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