Organization
SUNSHINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENFORD VALENTINE PTA (PHYSICAL THERAPY ASSISTANT)
(305) 975-2234
Entity
Organization
Contact information
Practice address
2331 N STATE ROAD 7, 124, LAUDERDALE LAKES, FL 33313-3748
(975) 533-2414
Mailing address
2331 N STATE ROAD 7, 124, LAUDERDALE LAKES, FL 33313-3748
(975) 533-2414
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/20/2011
Last updated
08/20/2011
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