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NPI Code Detail

MEDICARE: DR. CAROLINE ELIZABETH NEHLS DPT

MEDICARE: DR. CAROLINE ELIZABETH NEHLS 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 TherapistPT 22104FL

General Provider Information

NPI Number : 1871712224
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAROLINE ELIZABETH NEHLS DPT
Provider Business Mailing Address
First Line : 151 NE 16TH AVE APT 280
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-3847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3487 NW 30TH ST
Second Line :
City : LAUDERDALE LAKES
State : FL
Zip : 33311-1103
Country : US
Telephone Number : 954-739-6233
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/24/2007
Last Update Date : 07/08/2007

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