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Organization
PHYSICAL THERAPY FOR HEALTHY LIVING
Active
Organization
PHYSICAL THERAPY FOR HEALTHY LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA SOCORRO CASIMIRO JANDAYAN RPT (PRESIDENT)
(954) 651-5773
Entity
Organization
Contact information
Practice address
19233 NW 13TH ST, PEMBROKE PINES, FL 33029-4510
(954) 651-5773
(954) 538-1973
Mailing address
19233 NW 13TH ST, PEMBROKE PINES, FL 33029-4510
(954) 651-5773
(954) 538-1973
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT11478
FL
Other
Enumeration date
01/07/2007
Last updated
09/24/2007
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