Individual
ANNISAH PANGANDAMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1580 SAWGRASS CORPORATE PKWY, SUITE 100, SUNRISE, FL 33323
(954) 332-4445
Mailing address
1580 SAWGRASS CORPORATE PKWY,MEDPRO HEALTHCARRE STAFFIN, SUITE 100, SUNRISE, FL 33323
(954) 332-4445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
036530
NY
225100000X
Physical Therapist
Primary
070.020398
IL
225100000X
Physical Therapist
4455
NM
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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