Organization
PREMIER PHYSICAL THERAPY
Active
Other names
Physical Therapy Now
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA LEA FONDA (BILLING/CREDENTIALING MANAGER)
(305) 570-1666
Entity
Organization
Contact information
Practice address
13717 SW 152ND ST, MIAMI, FL 33177-1106
(305) 800-3253
(305) 203-0546
Mailing address
13717 SW 152ND ST, MIAMI, FL 33177-1106
(305) 800-3253
(305) 203-0546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT11471
FL
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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