Provider Demographics
NPI:1366471294
Name:ROSENFELD, AMIE (PT)
Entity Type:Individual
Prefix:MRS
First Name:AMIE
Middle Name:
Last Name:ROSENFELD
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 1:777 GLADES RD., ME-104, RM 104K
Mailing Address - Street 2:FLORIDA ATLANTIC UNIVERSITY- COLLEGE OF MEDICINE
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-0991
Mailing Address - Country:US
Mailing Address - Phone:561-297-4774
Mailing Address - Fax:561-297-4986
Practice Address - Street 1:777 GLADES ROAD., ME-104, RM 104K
Practice Address - Street 2:FLORIDA ATLANTIC UNIVERSITY- COLLEGE OF MEDICINE
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-0991
Practice Address - Country:US
Practice Address - Phone:561-297-4774
Practice Address - Fax:561-297-4986
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2017-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist