Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 28523 | FL |
NPI | 1003479486 |
---|---|
Provider Name | Lauren Silverman |
First Address | Parkland, FL 33067-3321 |
Second Address | Sunrise, FL 33351-8023 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/04/2019 |
Last Update Date | 21/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1932378163 | (05) | FL |