Jenna Mae Stasi, PT, DPT
Physical Therapist in Fort Myers, FL. Individual provider (NPI-1).
NPI number1902452147
StatusActive
Last updated in NPPESNov 12, 2020
Details
- NPI
- 1902452147
- Entity type
- Individual (NPI-1)
- Name
- Jenna Mae Stasi
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 14, 2019
- Certification date
- Nov 12, 2020
- Last updated
- Nov 12, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 34743 | FL | Yes |
Practice location
9724 Commerce Center CtFort Myers, FL 33908-3608
Phone 239-223-0484 · Fax 239-790-0969
Mailing address
21756 State Road 54Ste 102
Lutz, FL 33549-2905
Phone 239-223-0484
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All 280 Physical Therapist providers in Fort Myers · All 10,624 providers in Fort Myers
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