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Organization
SPORTS CHIRO AND REHAB
Active
Organization
SPORTS CHIRO AND REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM TESTA (OFFICE MANAGER)
(954) 451-3946
Entity
Organization
Contact information
Practice address
5400 S UNIVERSITY DR STE 603, DAVIE, FL 33328-5314
(954) 900-2942
(954) 451-3948
Mailing address
5400 S UNIVERSITY DR STE 603, DAVIE, FL 33328-5314
(954) 900-2942
(954) 451-3948
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CH9220
FL
171100000X
Acupuncturist
—
NULL
171100000X
Acupuncturist
—
—
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
Other
Enumeration date
10/26/2017
Last updated
05/01/2019
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