| Aktive Motion Physical Therapy And Wellness | |
|
4766 Golden Gate Pkwy Ste 4 Naples FL 34116-6935 | |
| (239) 280-0368 | |
| (239) 307-4116 |
| Full Name | Aktive Motion Physical Therapy And Wellness |
|---|---|
| Speciality | Clinic/Center |
| Location | 4766 Golden Gate Pkwy Ste 4, Naples, Florida |
| Authorized Official Name and Position | Jean Daniel Dornevil (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Contact | 2396720174 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aktive Motion Physical Therapy And Wellness 343 5th St Sw Naples FL 34117-2113 Ph: (239) 672-0174 | Aktive Motion Physical Therapy And Wellness 4766 Golden Gate Pkwy Ste 4 Naples FL 34116-6935 Ph: (239) 280-0368 |
| NPI Number | 1710482948 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 08/19/2024 |
| Medicare PECOS PAC ID | 6406101831 |
|---|---|
| Medicare Enrollment ID | O20180626001386 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710482948 | NPI | - | NPPES |
| Provider Name | Jean Daniel Dornevil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1902271612 PECOS PAC ID: 3173878519 Enrollment ID: I20180626001874 |
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