Registry details
Type
Organization
Primary specialty
Physical Therapist
Enumerated
Aug 20, 2013
License(s)
PTA20109 (FL), PTA19414 (FL), PTA21752 (FL), PTA22491 (FL), SA10823 (FL), SA11876 (FL), PT21718 (FL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 3670 N 54TH AVE | Hollywood, FL 33021-2340 | 305-651-9311 |
| MAILING | 3670 N 54TH AVE | Hollywood, FL 33021-2340 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.