Provider Demographics
NPI:1043311996
Name:GARVEY, MAXINE (DPT)
Entity Type:Individual
Prefix:DR
First Name:MAXINE
Middle Name:
Last Name:GARVEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10030 SW 224TH ST APT 301
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33190-1426
Mailing Address - Country:US
Mailing Address - Phone:305-234-3326
Mailing Address - Fax:305-971-6893
Practice Address - Street 1:12605 NE 7TH AVE
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-4813
Practice Address - Country:US
Practice Address - Phone:305-893-9883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22126225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist