Organization
INTEGRATED PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CRAIG COHEN PT (PRESIDENT)
(305) 343-6311
Entity
Organization
Contact information
Practice address
2142 NE 123RD ST, NORTH MIAMI, FL 33181-2902
(305) 967-8976
(305) 967-8863
Mailing address
2142 NE 123RD ST, NORTH MIAMI, FL 33181-2902
(305) 967-8976
(305) 967-8863
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT17945
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AF734
MEDICARE PTAN
FL
01
—
PT 17945
DEPARTMENT OF HEALTH
FL
Enumeration date
04/02/2007
Last updated
04/21/2016
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