Organization
PEDIATRIC PHYSICAL THERAPY ON THE MOVE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY C. CUELI-DUTIL DPT (PRESIDENT)
(954) 383-4239
Entity
Organization
Contact information
Practice address
55 WESTON RD, SUITE #103, WESTON, FL 33326-1169
(954) 383-4239
(954) 435-2810
Mailing address
16322 SW 14TH ST, PEMBROKE PINES, FL 33027-5121
(954) 383-4239
(954) 435-2810
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PT17075
FL
2251P0200X
Pediatric Physical Therapist
PT17075
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y8749
BCBS PROVIDER NUMBER
FL
Enumeration date
12/28/2006
Last updated
09/11/2025
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