Organization
L'IMAGE PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVELISE PETIT STANLEY PHYSICAL THERAPIST (OWNER)
(954) 261-5625
Entity
Organization
Contact information
Practice address
5741 SW 109TH AVE, DAVIE, FL 33328-6303
(954) 261-5625
Mailing address
5741 SW 109TH AVE, DAVIE, FL 33328-6303
(954) 261-5625
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
—
—
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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