Individual
CARLENE MARY MCCAMBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T., DPT
Contact information
Practice address
301 CAMINO GARDENS BLVD, SUITE 104, BOCA RATON, FL 33432
(561) 494-4499
Mailing address
1831 SW PALM CITY ROAD, C301, STUART, FL 34994
(772) 777-0391
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
4071
FL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204299899
FEDERAL EMPLOYER ID
—
05
—
880791400
—
FL
Enumeration date
05/17/2007
Last updated
06/25/2021
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