NPI 1962086520 · live from the CMS NPI Registry
123 Special Care Kids Ppec LLC
Physical Therapist in Hollywood, FL. National Provider Identifier 1962086520, active.
NPI record
| NPI | 1962086520 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 3670 N 54th Ave, Hollywood, FL 33021 |
| Practice phone | 305-651-9311 |
| Enumerated | May 10, 2021 |
| Last updated | May 13, 2021 |
| Authorized official | Mariana Talarico De Nolasco, Manager |
| Other names | 123 Special Care Kids Ppec LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Speech-Language Pathologist, | 235Z00000X | — |
| Physical Therapist primary | 225100000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.