Healthcare Provider Details

I. General information

NPI: 1538317813
Provider Name (Legal Business Name): SENSIBLE THERAGROUP PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2008
Last Update Date: 10/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

228 NE 21ST PL
CAPE CORAL FL
33909-2823
US

IV. Provider business mailing address

228 NE 21ST PL
CAPE CORAL FL
33909-2823
US

V. Phone/Fax

Practice location:
  • Phone: 239-772-7624
  • Fax: 239-772-7624
Mailing address:
  • Phone: 239-772-7624
  • Fax: 239-772-7624

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH ALIPIT GOMEZ-ALDAY
Title or Position: PRES.
Credential: PHYSICAL THERAPIST
Phone: 239-772-7624