Organization
LIFE PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARLOS JIMENEZ PT (PHYSICAL THERAPIST)
(305) 904-7732
Entity
Organization
Contact information
Practice address
8620 NW 64TH ST, #15, MIAMI, FL 33166-2672
(305) 834-8584
Mailing address
8620 NW 64TH ST, #15, MIAMI, FL 33166
(305) 834-8584
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
27898
FL
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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