Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT0003421 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | PT0003421 | FL |
NPI | 1053566521 |
---|---|
Provider Name | Mrs. Judy Kaufman |
First Address | Miami, FL 33176-2306 |
Second Address | Miami, FL 33176-2306 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/11/2008 |
Last Update Date | 24/11/2008 |