Junne Bacho

Individual provider Active NPI Physical Therapist · Okeechobee, FL

NPI 1811209109 · NPPES record last updated Jul 2, 2010

Key facts

NPI
1811209109
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
PT23324 (FL)
Practice address
1926 Highway 441 N
Okeechobee, FL 34972-1922
Phone
(863) 467-6659
Fax
(863) 763-5603
NPI assigned
Jul 2, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PT23324FLMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT23324 FL Yes

Addresses

Primary practice location

1926 Highway 441 N
Okeechobee, FL 34972-1922

Mailing address

1796 Highway 441 N
PO Box 1307
Okeechobee, FL 34972-1918
Phone (863) 467-6659

Other providers in Okeechobee, FL

All providers in Okeechobee, FL · Physical Therapist in Florida

Sources for this page

Verify at the official NPI Registry.