REQUEST PHYSICAL THERAPY INC
Physical Therapy at Manatee Ave, Bradenton, FL

License number
Florida PT20347
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MR. JOHN WALZ MPT
Title: OWNER
Phone: (941) 744-9046
Address
Address
2722 Manatee Ave W SUITE 2, Bradenton, FL 34205
National Provider ID: 1356440523
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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REQUEST PHYSICAL THERAPY, INC

Bradenton, FL

Industry:
Health Practitioner's Office
Doing business as:
Request Physical Therapy
Registration:
Jun 8, 2005
Phone:
(941) 744-9046 (Phone), (941) 567-6287 (Phone)
Addresses:
2601 Manatee Ave W SUITE E, Bradenton, FL 34205 (Physical)
2722 Manatee Ave W, Bradenton, FL 34205
701 Manatee Ave W, Bradenton, FL 34205
State ID:
P05000082871
Business type:
Florida Profit Corporation
President, Treasurer, Secretary, Director, Principal:
John W Walz (President, Treasurer, Secretary, Director, Principal), 106 23 St W, Bradenton, FL 34205 (Physical)
Agent:
John Walz,2601 Manatee Ave W SUITE E, Bradenton, FL 34205 (Physical)
EIN:
202960136

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