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AMY SIMONETTA
Geriatrics >> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1225563182
Individual Registrant: AMY SIMONETTA
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3964 FLORIDA AVE JAY, FL 32565-1104 US
Tel: 850-741-6715 Fax: --
Tel: 850-741-6715 Fax: --
Contact information for business:
3331 SUMMIT BLVD APT 172 PENSACOLA, FL 32503-4331 US
Tel: 318-348-0038 Fax: --
Tel: 318-348-0038 Fax: --
Registration Information:
NPI: 1225563182
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 2251G0304X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Geriatrics | FL | PT175690 |
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | IL | 070.022877 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
