Omspt Holdings LLC
Physical Therapist in Fort Myers, FL. Organization (NPI-2).
NPI number1194485367
StatusActive
Last updated in NPPESDec 29, 2021
Details
- NPI
- 1194485367
- Entity type
- Organization (NPI-2)
- Legal business name
- Omspt Holdings LLC
- Organization subpart
- No
- Enumeration date
- Dec 29, 2021
- Certification date
- Dec 28, 2021
- Last updated
- Dec 29, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | – | – | Yes |
Practice location
14561 Jetport Loop; Bldg #200. Suite 135Jetport Commerce Park
Fort Myers, FL 33913-3391
Phone 606-324-0540 · Fax 606-324-0616
Mailing address
1212 Bath Ave Ste 350Ashland, KY 41101-2696
Phone 606-324-0540 · Fax 606-324-0616
Authorized official
Beverly S Ritchey
Administrative Assistant
6063240540
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