Healthcare Provider Details

I. General information

NPI: 1477862597
Provider Name (Legal Business Name): PAMELA JANE DAY DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2010
Last Update Date: 06/15/2021
Certification Date: 06/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 W HILLSBORO BLVD STE 9
COCONUT CREEK FL
33073-4317
US

IV. Provider business mailing address

5450 W HILLSBORO BLVD STE 9
COCONUT CREEK FL
33073-4317
US

V. Phone/Fax

Practice location:
  • Phone: 954-725-9125
  • Fax: 561-752-5788
Mailing address:
  • Phone: 954-725-9125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number25736
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: