Provider Demographics
NPI:1417040551
Name:PATRICK SAIDI PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:PATRICK SAIDI PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:FROESCHLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-464-3076
Mailing Address - Street 1:1490 NE PINE ISLAND RD STE 4C
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-2165
Mailing Address - Country:US
Mailing Address - Phone:239-464-3076
Mailing Address - Fax:
Practice Address - Street 1:1490 NE PINE ISLAND RD STE 4C
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-2165
Practice Address - Country:US
Practice Address - Phone:239-464-3076
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy