Organization
BROWARD MANUAL REHAB INC
Active
Organization
BROWARD MANUAL REHAB INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIMITRI COSMIOS P.T. (PRESIDENT)
(954) 717-1983
Entity
Organization
Contact information
Practice address
4959 N STATE ROAD 7, STE D, TAMARAC, FL 33319-5871
(954) 717-1983
(954) 717-1984
Mailing address
4959 N STATE ROAD 7, STE D, TAMARAC, FL 33319-5871
(954) 717-1983
(954) 717-1984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 19201
FL
Other
Enumeration date
04/24/2007
Last updated
08/22/2020
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