Provider Demographics
NPI:1225467285
Name:WEST KENDALL PHYSICAL THERAPY & HAND REHABILITATION CENTER LLC
Entity Type:Organization
Organization Name:WEST KENDALL PHYSICAL THERAPY & HAND REHABILITATION CENTER LLC
Other - Org Name:WEST KENDALL PHYSICAL THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RANDALL
Authorized Official - Middle Name:
Authorized Official - Last Name:BROWNING
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN PTA
Authorized Official - Phone:305-408-7353
Mailing Address - Street 1:13550 SW 88TH ST
Mailing Address - Street 2:STE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1654
Mailing Address - Country:US
Mailing Address - Phone:305-408-7353
Mailing Address - Fax:305-408-7355
Practice Address - Street 1:13550 SW 88TH ST
Practice Address - Street 2:STE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1654
Practice Address - Country:US
Practice Address - Phone:305-408-7353
Practice Address - Fax:305-408-7355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-09
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC 7047261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy