Amanda Richelo
Physical Therapist
17796 Sw 2nd St
Pembroke Pines
, Florida 33029-3923
Amanda Richelo
Physical Therapist
17796 Sw 2nd St
Pembroke Pines
, Florida 33029-3923
(908) 834-1607
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About
Features
Specialties
- Physical Therapist
Languages spoken
- English
Location
First Address
- Amanda Richelo
- 11463 Sundance Ln
- Boca Raton, FL
- Zip : 33428-5519
- Phone : (908) 834-1607
Second Address
- Amanda Richelo
- 17796 Sw 2nd St
- Pembroke Pines, FL
- Zip : 33029-3923
- Phone : (954) 438-7800
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | PT31486 | FL |
National Provider Identifier
| NPI | 1003265430 |
|---|---|
| Provider Name | Amanda Richelo |
| First Address | Boca Raton, FL 33428-5519 |
| Second Address | Pembroke Pines, FL 33029-3923 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/06/2016 |
| Last Update Date | 07/06/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.