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NPI Code Detail

MEDICARE: NOAH RESUTA DPT

MEDICARE: NOAH RESUTA DPT
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
1225100000XPhysical Therapist40925FL

General Provider Information

NPI Number : 1568243665
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH RESUTA DPT
Provider Business Mailing Address
First Line : 14601 HOPE CENTER LOOP
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4707
Country : US
Telephone Number : 239-334-7000
Fax Number : 239-334-7070
Provider Business Practice Location Address
First Line : 14601 HOPE CENTER LOOP
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4707
Country : US
Telephone Number : 239-334-7000
Fax Number : 239-334-7070
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2023
Last Update Date : 02/03/2026

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Directions to “ NOAH RESUTA DPT” Practice Location

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