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NPI Code Detail

MEDICARE: TERESA BRIGAGLIANO PT, DPT

MEDICARE:   TERESA  BRIGAGLIANO  PT, 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 TherapistPT31152FL

General Provider Information

NPI Number : 1740641547
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERESA BRIGAGLIANO PT, DPT
Provider Business Mailing Address
First Line : 15751 SAN CARLOS BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3314
Country : US
Telephone Number : 239-337-2739
Fax Number : 239-337-2738
Provider Business Practice Location Address
First Line : 15751 SAN CARLOS BLVD
Second Line :
City : FORT MYERS
State : FL
Zip : 33908-3314
Country : US
Telephone Number : 239-337-2739
Fax Number : 239-337-2738
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2016
Last Update Date : 05/09/2020

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Directions to “ TERESA BRIGAGLIANO PT, DPT” Practice Location

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