Provider Demographics
NPI:1346495538
Name:JOSEPH, LUMANA (MPT, LMT)
Entity Type:Individual
Prefix:DR
First Name:LUMANA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MPT, LMT
Other - Prefix:
Other - First Name:LUMANA
Other - Middle Name:PHYSCIAL THERAPY
Other - Last Name:AND WELLNESS CENTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:810 NE 125TH ST
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33161-5712
Mailing Address - Country:US
Mailing Address - Phone:305-450-2736
Mailing Address - Fax:305-675-3313
Practice Address - Street 1:810 NE 125TH ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33161-5712
Practice Address - Country:US
Practice Address - Phone:305-450-2736
Practice Address - Fax:305-675-3313
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-01
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA26681225700000X
FLPT24092225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist