Provider Demographics
NPI:1164627899
Name:FALL PREVENTION HOME PHYSICAL THERAPY INC
Entity Type:Organization
Organization Name:FALL PREVENTION HOME PHYSICAL THERAPY INC
Other - Org Name:STRENGTH AND BALANCE IN YOUR HOME
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:EMILIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDRIESCU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-643-4493
Mailing Address - Street 1:1000 NE 4TH CT
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-3529
Mailing Address - Country:US
Mailing Address - Phone:954-643-4493
Mailing Address - Fax:954-457-8516
Practice Address - Street 1:1000 NE 4TH CT
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-3529
Practice Address - Country:US
Practice Address - Phone:954-643-4493
Practice Address - Fax:954-457-8516
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-21
Last Update Date:2007-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL21430225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty