Prostar Physical Therapy, Llc | |
4533 Hollywood Blvd, Hollywood, FL 33021-6611 | |
(954) 342-1177 | |
(954) 510-0138 |
Full Name | Prostar Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 4533 Hollywood Blvd, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023312535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | PT5627 (Florida) | Primary |
Provider Name | Richard J Kramer |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1144523028 PECOS PAC ID: 6204017890 Enrollment ID: I20110302000751 |
Mailing Address | Practice Location Address |
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Prostar Physical Therapy, Llc 4533 Hollywood Blvd, Hollywood, FL 33021-6611 Ph: (954) 342-1177 | Prostar Physical Therapy, Llc 4533 Hollywood Blvd, Hollywood, FL 33021-6611 Ph: (954) 342-1177 |
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