MEDICARE: MISS THERESA BARBARA LIMA PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT24000	FL

General Provider Information

NPI Number	:	1740426121
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS THERESA BARBARA LIMA PT

Provider Business Mailing Address
First Line	:	PO BOX 331921
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33233-1921
Country	:	US
Telephone Number	:	786-732-7438
Fax Number	:

Provider Business Practice Location Address
First Line	:	13101 S DIXIE HWY STE 330
Second Line	:
City	:	PINECREST
State	:	FL
Zip	:	33156-6530
Country	:	US
Telephone Number	:	786-732-7438
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2009
Last Update Date	:	07/25/2022

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