Organization · NPI-2

123 Special Care Kids Ppec LLC

Physical Therapist · Hollywood, FL

NPI number1962086520
StatusActive
Last updated in NPPESMay 13, 2021

Details

NPI
1962086520
Entity type
Organization (NPI-2)
Legal business name
123 Special Care Kids Ppec LLC
Organization subpart
No
Enumeration date
May 10, 2021
Certification date
May 13, 2021
Last updated
May 13, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Other names

  • 123 Special Care Kids Ppec LLC (Doing Business As)

Practice location

3670 N 54th Ave
Hollywood, FL 33021-2340

Phone 305-651-9311

Mailing address

3670 N 54th Ave
Hollywood, FL 33021-2340

Phone 786-651-9311

Authorized official

Mariana Talarico De Nolasco
Manager
3056519311

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physical Therapist providers in Hollywood, FL