Organization
ADVANCED SPORTS PHYSICAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS IRA D. FARBER MPT (PRESIDENT)
(954) 556-8633
Entity
Organization
Contact information
Practice address
5850 S PINE ISLAND RD, DAVIE, FL 33328-5933
(954) 556-8633
Mailing address
7121 SW 42ND PL, DAVIE, FL 33314-3144
(954) 556-8633
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT19847
FL
Other
Enumeration date
05/17/2007
Last updated
08/22/2020
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