Healthcare Provider Details

I. General information

NPI: 1841153533
Provider Name (Legal Business Name): MARIA LENA DEA PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 HANCOCK BRIDGE PKWY W STE G22
CAPE CORAL FL
33991-2093
US

IV. Provider business mailing address

1715 STATE RD
CROYDON PA
19021-6709
US

V. Phone/Fax

Practice location:
  • Phone: 239-214-8760
  • Fax:
Mailing address:
  • Phone: 215-970-6349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT031469
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT44124
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: