Provider Demographics
NPI:1518793876
Name:HEALING HANDS PHYSICAL THERAPY AND REHABILITATION OF SW FLORIDA, PLLC
Entity type:Organization
Organization Name:HEALING HANDS PHYSICAL THERAPY AND REHABILITATION OF SW FLORIDA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:AARON
Authorized Official - Last Name:LUDWIG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:239-445-8017
Mailing Address - Street 1:18104 EVERSON MILES CIR
Mailing Address - Street 2:
Mailing Address - City:NORTH FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33917-3897
Mailing Address - Country:US
Mailing Address - Phone:239-445-8017
Mailing Address - Fax:
Practice Address - Street 1:18104 EVERSON MILES CIR
Practice Address - Street 2:
Practice Address - City:NORTH FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33917-3897
Practice Address - Country:US
Practice Address - Phone:239-445-8017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-12
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy