Provider Demographics
NPI:1326328428
Name:D'AGOSTINO, CLAUDIA ELENA (PT)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:ELENA
Last Name:D'AGOSTINO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 SW 3RD ST
Mailing Address - Street 2:201
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-6934
Mailing Address - Country:US
Mailing Address - Phone:954-941-1708
Mailing Address - Fax:954-941-1708
Practice Address - Street 1:550 SW 3RD ST
Practice Address - Street 2:201
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-6934
Practice Address - Country:US
Practice Address - Phone:954-941-1708
Practice Address - Fax:954-941-1708
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7148225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist