Organization · Type 2 NPI

Jaesen Petretta Inc

Rehabilitation Clinic/Center · Fort Myers, FL

NPI number 1487094983 Active

Practice location

12995 S Cleveland Ave Ste 158
Fort Myers, FL 33907-3867

Call (239) 839-3408 Map

Mailing address

4281 7th Ave SW
Naples, FL 34119-4029

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Clinic/Center Primary 261QR0400XOT10199 (FL)

Rehabilitation Clinic/Center: Definition to come...

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About NPI 1487094983

Jaesen Petretta Inc's National Provider Identifier is 1487094983, issued on Jun 28, 2013. The primary taxonomy on file is Rehabilitation Clinic/Center (261QR0400X), and the practice location is in Fort Myers, FL. The record was last updated on Jun 28, 2013.