Healthcare Provider Details

I. General information

NPI: 1518309772
Provider Name (Legal Business Name): SYMMETRY PHYSICAL THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2013
Last Update Date: 05/03/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 W FLAGLER ST STE 901
MIAMI FL
33130-1894
US

IV. Provider business mailing address

3590 CORAL WAY APT 707
MIAMI FL
33145-3076
US

V. Phone/Fax

Practice location:
  • Phone: 815-814-8444
  • Fax:
Mailing address:
  • Phone: 815-814-8444
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateFL

VIII. Authorized Official

Name: DR. NATALIA SOPHIA SIKACZOWSKI
Title or Position: OWNER
Credential: DPT
Phone: 815-814-8444