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NPI Code Detail

MEDICARE: PHYSICAL THERAPY SERVICES INC

MEDICARE: PHYSICAL THERAPY SERVICES INC
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
1261QP2000XPhysical Therapy Clinic/Center

General Provider Information

NPI Number : 1265654883
Entity Type Code : Organization
Provider Name (Legal Business Name) : PHYSICAL THERAPY SERVICES INC
Provider Business Mailing Address
First Line : 8390 W FLAGLER ST
Second Line : 203
City : MIAMI
State : FL
Zip : 33144-0000
Country : US
Telephone Number : 305-221-1685
Fax Number : 305-221-1686
Provider Business Practice Location Address
First Line : 8390 W FLAGLER ST
Second Line : 203
City : MIAMI
State : FL
Zip : 33144-0000
Country : US
Telephone Number : 305-221-1685
Fax Number : 305-221-1686
Authorized Official
Title or Position : PRESIDENT
Name : HERMINSUL JARA
Credential : PT
Telephone Number : 305-987-1334
Provider Enumeration Date : 05/03/2007
Last Update Date : 08/22/2020

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Directions to “PHYSICAL THERAPY SERVICES INC ” Practice Location

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