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Reynante Bulawan, PT

Physical Therapist in Fort Myers, FL. Individual provider (NPI-1).

NPI number1801034152
StatusActive
Last updated in NPPESJan 24, 2009

Details

NPI
1801034152
Entity type
Individual (NPI-1)
Name
Mr. Reynante Bulawan
Credential
PT
Sex
Male
Sole proprietor
No
Enumeration date
Jan 24, 2009
Last updated
Jan 24, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical TherapistPT20612FLYes

Practice location

8779 Spring Mountain Way
Fort Myers, FL 33908-9676

Phone 239-275-7285

Mailing address

8779 Spring Mountain Way
Fort Myers, FL 33908-9676

Phone 239-275-7285

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