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NPI Code Detail

MEDICARE: OPTIMAL HUMAN MOVEMENT

MEDICARE: OPTIMAL HUMAN MOVEMENT
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1437770682
Entity Type Code : Organization
Provider Name (Legal Business Name) : OPTIMAL HUMAN MOVEMENT
Provider Business Mailing Address
First Line : 4640 SW 43RD AVE
Second Line :
City : FT LAUDERDALE
State : FL
Zip : 33314-4723
Country : US
Telephone Number : 301-247-5259
Fax Number :
Provider Business Practice Location Address
First Line : 2631 SW 27TH ST
Second Line :
City : MIAMI
State : FL
Zip : 33133-2239
Country : US
Telephone Number : 305-396-9002
Fax Number : 305-393-9002
Authorized Official
Title or Position : DOCTOR OF PHYSICAL THERAPY
Name : DR. ROBERT HARRIS
Credential : DO
Telephone Number : 305-396-9002
Provider Enumeration Date : 04/29/2020
Last Update Date : 04/29/2020

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Directions to “OPTIMAL HUMAN MOVEMENT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.