Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT35145 | FL |
N | 2251S0007X | Physical Therapist - Sports | PT35145 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | PT35145 | FL |
NPI | 1336798479 |
---|---|
Provider Name | Adam Pizow |
First Address | Palm Beach Gardens, FL 33410-2895 |
Second Address | Palm Beach Gardens, FL 33410-2895 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2019 |
Last Update Date | 11/09/2019 |