Individual
MINACSHEE CARLA AUGUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
224 SE 9TH ST, FORT LAUDERDALE, FL 33316-1020
(954) 256-9052
(954) 256-9053
Mailing address
1500 N UNIVERSITY DR STE 101, CORAL SPRINGS, FL 33071-6071
(954) 458-1199
(877) 349-0255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42207
FL
225100000X
Physical Therapist
Primary
PT42207
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT42207
FL
Other
Enumeration date
08/19/2024
Last updated
04/30/2026
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