MEDICARE: MS. FELICIA YVETTE FREEMAN PHYSICAL THERAPIST

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
1	225100000X	Physical Therapist	PT0004468	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1437493301
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FELICIA YVETTE FREEMAN PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	1541 SUNSET DR STE 205
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33143-5777
Country	:	US
Telephone Number	:	305-283-0832
Fax Number	:	305-378-0949

Provider Business Practice Location Address
First Line	:	1541 SUNSET DR STE 205
Second Line	:
City	:	CORAL GABLES
State	:	FL
Zip	:	33143-5777
Country	:	US
Telephone Number	:	786-809-1390
Fax Number	:	786-809-1391

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/16/2012
Last Update Date	:	03/25/2023

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