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Individual

ERDNA ISABELLE BARBANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
311 S CYPRESS RD, POMPANO BEACH, FL 33060-7133
(954) 781-7248
Mailing address
5220 SW 30TH AVE, FORT LAUDERDALE, FL 33312-6907
(954) 478-6030

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
PTT40245
FL
225100000X
Physical Therapist
Primary
PTT40245
FL

Other

Enumeration date
05/30/2023
Last updated
05/30/2023
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