Healthcare Provider Details

I. General information

NPI: 1801550504
Provider Name (Legal Business Name): J KRU THERAPY LLC DBA FOCUS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2021
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9961 INTERSTATE COMMERCE DR UNIT 150160
FORT MYERS FL
33913-8264
US

IV. Provider business mailing address

4997 ROYAL GULF CIR
FORT MYERS FL
33966-7006
US

V. Phone/Fax

Practice location:
  • Phone: 239-313-5049
  • Fax: 239-313-5712
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER P VOLTZ
Title or Position: OWNER
Credential:
Phone: 239-313-5049