NPI 1104092808 · live from the CMS NPI Registry
Suzanne M Aberdale, PT
Physical Therapist in Coconut Creek, FL. National Provider Identifier 1104092808, active.
NPI record
| NPI | 1104092808 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 6501 Flamingo Ln, Coconut Creek, FL 33073 |
| Practice phone | 954-616-7544 |
| Enumerated | May 2, 2008 |
| Last updated | March 24, 2011 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | PT13790 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.