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Organization
FUNCTIONAL MOVEMENT REHAB AND FITNESS, INC.
Active
Organization
FUNCTIONAL MOVEMENT REHAB AND FITNESS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRA YASKIN M.OTR/L (VICE PRESIDENT)
(561) 723-8437
Entity
Organization
Contact information
Practice address
2459 CARDINAL LN, PALM BEACH GARDENS, FL 33410-1223
(561) 723-8437
Mailing address
2459 CARDINAL LN, PALM BEACH GARDENS, FL 33410-1223
(561) 723-8437
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT17788
FL
2251S0007X
Sports Physical Therapist
PT17788
FL
2251X0800X
Orthopedic Physical Therapist
PT17788
FL
225X00000X
Occupational Therapist
OT9985
FL
225XH1200X
Hand Occupational Therapist
1061101186
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BN755Z
MEDICARE PTAN
FL
01
—
EN537Z
MEDICARE PTAN
FL
Enumeration date
10/30/2012
Last updated
10/19/2015
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