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NPI Code Detail

MEDICARE: MRS. JOAN EPIFANIO CAMPBELL P.T.

MEDICARE: MRS. JOAN EPIFANIO CAMPBELL P.T.
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
12251P0200XPediatric Physical TherapistPT-008871FL

General Provider Information

NPI Number : 1598873093
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JOAN EPIFANIO CAMPBELL P.T.
Provider Business Mailing Address
First Line : 7490 EATON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33024-7156
Country : US
Telephone Number : 954-989-7967
Fax Number : 954-989-7967
Provider Business Practice Location Address
First Line : 550 SE 4TH CT
Second Line :
City : DANIA BEACH
State : FL
Zip : 33004-4738
Country : US
Telephone Number : 954-925-7034
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. JOAN EPIFANIO CAMPBELL P.T.” Practice Location

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