Individual
PETER MODERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1115 E SUNRISE BLVD, FORT LAUDERDALE, FL 33304-2809
(954) 247-4929
Mailing address
910 MACY ST, WEST PALM BEACH, FL 33405-3810
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT34695
FL
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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