Individual
MRS. REBECCA SHELLEY ROSENTHAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1269
(954) 262-1783
Mailing address
3200 S UNIVERSITY DR, DAVIE, FL 33328-2018
(954) 262-1269
(954) 262-1783
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 4506
FL
2251P0200X
Pediatric Physical Therapist
Primary
PT 4506
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
889586400
—
FL
Enumeration date
11/06/2009
Last updated
11/06/2009
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