Organization
CMD PEDIATRIC THERAPY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARINA M DESAULNIERS DPT (PRESIDENT)
(954) 252-2705
Entity
Organization
Contact information
Practice address
19376 SW 65TH ST, SUITE 102, FORT LAUDERDALE, FL 33332-3362
(954) 252-2705
(954) 252-0524
Mailing address
19376 SW 65TH ST, SUITE 102, FORT LAUDERDALE, FL 33332-3362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT19506
FL
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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