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NPI Code Detail

MEDICARE: RHIANNE ARGELIE PONCIANO CRUZ PT

MEDICARE:   RHIANNE ARGELIE PONCIANO CRUZ  PT
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 TherapistPT29702FL

General Provider Information

NPI Number : 1710355870
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHIANNE ARGELIE PONCIANO CRUZ PT
Provider Business Mailing Address
First Line : 4780 CRESTED EAGLE LN
Second Line :
City : FORT MYERS
State : FL
Zip : 33966-1271
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13960 PLANTATION RD
Second Line :
City : FORT MYERS
State : FL
Zip : 33912-4303
Country : US
Telephone Number : 239-343-1701
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2015
Last Update Date : 04/28/2023

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Directions to “ RHIANNE ARGELIE PONCIANO CRUZ PT” Practice Location

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