Provider Demographics
NPI:1083311369
Name:L V PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:L V PHYSICAL THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINNET
Authorized Official - Middle Name:
Authorized Official - Last Name:VALLE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:305-551-8329
Mailing Address - Street 1:760 NW 107TH AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33172-3157
Mailing Address - Country:US
Mailing Address - Phone:305-551-8329
Mailing Address - Fax:305-551-8330
Practice Address - Street 1:760 NW 107TH AVE STE 400
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33172-3157
Practice Address - Country:US
Practice Address - Phone:305-551-8329
Practice Address - Fax:305-551-8330
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-08
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty