Healthcare Provider Details

I. General information

NPI: 1912049867
Provider Name (Legal Business Name): ROLF KUHNS P.T.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/16/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 W NORTH BLVD SUITE D
LEESBURG FL
34748-5063
US

IV. Provider business mailing address

17561 SEIDNER RD
WINTER GARDEN FL
34787-9717
US

V. Phone/Fax

Practice location:
  • Phone: 352-728-6636
  • Fax: 866-653-9133
Mailing address:
  • Phone: 407-877-9512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT1146
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: