Individual
ANDREW LACKWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10074 NW 6TH STREET, PEMBROKE PINES, FL 33024
(954) 604-1695
Mailing address
10074 NW 6TH ST, PEMBROKE PINES, FL 33024-6152
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
25161
FL
Other
Enumeration date
10/14/2014
Last updated
10/14/2014
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