Provider Demographics
NPI:1104079383
Name:PIERCE, WILLIAM HENRY III (LPTA)
Entity type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:HENRY
Last Name:PIERCE
Suffix:III
Gender:M
Credentials:LPTA
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Mailing Address - Street 1:8461 VILLAGE EDGE CIRCLE
Mailing Address - Street 2:UNIT 5
Mailing Address - City:FT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919
Mailing Address - Country:US
Mailing Address - Phone:239-281-3356
Mailing Address - Fax:239-362-2272
Practice Address - Street 1:6350 TECHSTER BLVD
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33966-4705
Practice Address - Country:US
Practice Address - Phone:239-281-3356
Practice Address - Fax:239-362-2272
Is Sole Proprietor?:No
Enumeration Date:2008-10-31
Last Update Date:2008-10-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPTA21412225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist