Dr. Khirah Madison, DPT, CLWT
Physical Therapist in Weston, FL. Individual provider (NPI-1).
NPI number1619696366
StatusActive
Last updated in NPPESAug 25, 2022
Details
- NPI
- 1619696366
- Entity type
- Individual (NPI-1)
- Name
- Dr. Khirah Madison
- Credential
- DPT, CLWT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2022
- Certification date
- Aug 25, 2022
- Last updated
- Aug 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT39135 | FL | Yes |
Practice location
3250 Meridian PkwyWeston, FL 33331-3502
Phone 954-659-5000
Mailing address
6625 Eagle Nest Ln Apt 309Miami Lakes, FL 33014-2278
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