Lighthouse Pilates & Physical Therapy, Llc | |
4435 Sheridan St, Hollywood, FL 33021-3513 | |
(954) 391-8823 | |
Not Available |
Full Name | Lighthouse Pilates & Physical Therapy, Llc |
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Type | Facility |
Speciality | Physical Therapist |
Location | 4435 Sheridan St, 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 |
---|---|---|---|
1801557541 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225100000X | Physical Therapist | (* (Not Available)) | Primary |
Provider Name | Mary Ebanks-nunaihed |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1326314360 PECOS PAC ID: 1355632340 Enrollment ID: I20160622001503 |
Mailing Address | Practice Location Address |
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Lighthouse Pilates & Physical Therapy, Llc 4315 Polk St, Hollywood, FL 33021-6615 Ph: (954) 699-4690 | Lighthouse Pilates & Physical Therapy, Llc 4435 Sheridan St, Hollywood, FL 33021-3513 Ph: (954) 391-8823 |
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