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NPI Code Detail

MEDICARE: LAURA HUTIRA DPT

MEDICARE: LAURA HUTIRA 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 Therapist

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 : 1386005353
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA HUTIRA DPT
Provider Business Mailing Address
First Line : 1400 NW 97TH AVE
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33071-5953
Country : US
Telephone Number : 954-900-2594
Fax Number :
Provider Business Practice Location Address
First Line : 1825 N PINE ISLAND RD
Second Line :
City : PLANTATION
State : FL
Zip : 33322
Country : US
Telephone Number : 330-635-8938
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2016
Last Update Date : 05/15/2018

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Directions to “ LAURA HUTIRA DPT” Practice Location

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