Organization
MONDESIR
Active
Organization
MONDESIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. OLDINE MONDESIR PTA (PHYSICAL THERAPIST ASSISTANT)
(954) 809-5108
Entity
Organization
Contact information
Practice address
4712 NW 1ST CT, PLANTATION, FL 33317-3138
(954) 809-5108
Mailing address
4712 NW 1ST CT, PLANTATION, FL 33317-3138
(954) 809-5108
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
21927
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21927
PHYSICAL THERAPY ASSISTANT
FL
Enumeration date
11/25/2009
Last updated
11/25/2009
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