Individual
EMMANUEL MAGBOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1563 NW 159 LANE, PEMBROKE PINES, FL 33028
(954) 907-0178
Mailing address
1563 NW 159 LANE, PEMBROKE PINES, FL 33028
(954) 907-0178
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT13932
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT13932
PHYSICAL THERAPY
FL
Enumeration date
06/13/2014
Last updated
06/13/2014
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