Dr Dainielle Petrina Gordon-cornwall, DPT | |
12251 Taft St Ste 303, Pembroke Pines, FL 33026 | |
(954) 648-5565 | |
(305) 489-0182 |
Full Name | Dr Dainielle Petrina Gordon-cornwall |
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Gender | Female |
Speciality | Physical Therapy |
Experience | 17 Years |
Location | 12251 Taft St Ste 303, Pembroke Pines, Florida |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134455819 | NPI | - | NPPES |
PT 25081 | Other | FL | PT STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | PT 25081 (Florida) | Primary |
Provider Name | Therapy Out The Box Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1710489430 PECOS PAC ID: 0143567933 Enrollment ID: O20190201001047 |
Provider Name | 360 Rehab Services Inc. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1538727516 PECOS PAC ID: 2668703489 Enrollment ID: O20191009001860 |
Mailing Address | Practice Location Address |
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Dr Dainielle Petrina Gordon-cornwall, DPT 12251 Taft St Ste 303, Pembroke Pines, FL 33026-1956 Ph: (954) 648-5565 | Dr Dainielle Petrina Gordon-cornwall, DPT 12251 Taft St Ste 303, Pembroke Pines, FL 33026 Ph: (954) 648-5565 |
Amanda Cardenas, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800 | |
Monica Odalmis Gonzalez, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16192 Nw 14th Ct, Pembroke Pines, FL 33028 Phone: 954-260-6428 | |
Zanaba Goins, DR Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800 | |
Ms. Joan Hudson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 17900 Nw 5th St, Suite 103, Pembroke Pines, FL 33029 Phone: 954-435-9905 Fax: 954-435-3769 | |
Mrs. Lina Maria Peterson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10794 Pines Blvd, Pembroke Pines, FL 33026 Phone: 954-447-0296 Fax: 954-447-3131 | |
Mr. Roberto Mcgrath, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 17796 Sw 2nd St, Pembroke Pines, FL 33029 Phone: 954-438-7800 | |
Justine Fradillada, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 10261 Pines Blvd, Pembroke Pines, FL 33026 Phone: 954-356-2878 |