Organization
HIGH ENERGY PHYSIOTRAINING, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CRISTIANE BARBOSA TIMOTEO PTA, CWT (OWNER)
(754) 581-1605
Entity
Organization
Contact information
Practice address
3100 COUNTRY CLUB LN, HALLANDALE BEACH, FL 33009-5126
(754) 581-1605
(954) 455-1701
Mailing address
3100 COUNTRY CLUB LN, HALLANDALE BEACH, FL 33009-5126
(754) 581-1605
(954) 455-1701
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225200000X
Physical Therapy Assistant
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/26/2008
Last updated
12/26/2008
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