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NPI Code Detail

MEDICARE: MRS. KALLIE ATTI DPT

MEDICARE:  MRS. KALLIE  ATTI  DPT
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
1225100000XPhysical TherapistPT 229816FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215322292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. KALLIE ATTI DPT
Provider Business Mailing Address
First Line : 3848 LYONS RD APT 304
Second Line :
City : COCONUT CREEK
State : FL
Zip : 33073-4484
Country : US
Telephone Number : 954-548-5614
Fax Number :
Provider Business Practice Location Address
First Line : 1955 N FEDERAL HWY UNIT 253
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-1036
Country : US
Telephone Number : 954-850-2520
Fax Number : 954-850-2521
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 04/06/2015

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Directions to “ MRS. KALLIE ATTI DPT” Practice Location

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