Cmd Pediatric Therapy Services LLC
Physical Therapist in Fort Lauderdale, FL. Organization (NPI-2).
NPI number1114257557
StatusActive
Last updated in NPPESJan 7, 2010
Details
- NPI
- 1114257557
- Entity type
- Organization (NPI-2)
- Legal business name
- Cmd Pediatric Therapy Services LLC
- Organization subpart
- No
- Enumeration date
- Jan 7, 2010
- Last updated
- Jan 7, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT19506 | FL | Yes |
Practice location
19376 Sw 65th StSuite 102
Fort Lauderdale, FL 33332-3362
Phone 954-252-2705 · Fax 954-252-0524
Mailing address
19376 Sw 65th StSuite 102
Fort Lauderdale, FL 33332-3362
Authorized official
Charina M Desaulniers
President
9542522705
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