Healthcare Provider Details

I. General information

NPI: 1003238841
Provider Name (Legal Business Name): JOSEPHINE CASADO PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/14/2014
Last Update Date: 01/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1031 N 16TH AVE
HOLLYWOOD FL
33020-3736
US

IV. Provider business mailing address

1031 N 16TH AVE
HOLLYWOOD FL
33020-3736
US

V. Phone/Fax

Practice location:
  • Phone: 954-600-8328
  • Fax:
Mailing address:
  • Phone: 954-600-8328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: