Meredith Breisblatt
Physical Therapy Assistant
9425 Sw 72nd St Ste 261
Miami
, Florida 33173-5457
Meredith Breisblatt
Physical Therapy Assistant
9425 Sw 72nd St Ste 261
Miami
, Florida 33173-5457
(305) 271-7949
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Meredith Breisblatt
- 5416 Nw 50th Ct
- Coconut Creek, FL
- Zip : 33073-3310
- Fax : (305) 271-7949
- Phone : (305) 271-7343
Second Address
- Meredith Breisblatt
- 9425 Sw 72nd St Ste 261
- Miami, FL
- Zip : 33173-5457
- Fax : (305) 271-7949
- Phone : (305) 271-7343
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Is Meredith Breisblatt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | PTA23540 | FL |
National Provider Identifier
| NPI | 1003221250 |
|---|---|
| Provider Name | Meredith Breisblatt |
| First Address | Coconut Creek, FL 33073-3310 |
| Second Address | Miami, FL 33173-5457 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/06/2014 |
| Last Update Date | 26/06/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| PTA23540 | PHYSICAL THERAPY ASSISTANT LICENSE (01) | FL |
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.