Provider Demographics
NPI:1427595859
Name:ALBAGLI, SHLOMIT (PT)
Entity Type:Individual
Prefix:DR
First Name:SHLOMIT
Middle Name:
Last Name:ALBAGLI
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 1:4113 NW 6TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-0731
Mailing Address - Country:US
Mailing Address - Phone:353-376-6300
Mailing Address - Fax:630-759-9510
Practice Address - Street 1:4113 NW 6TH ST STE C
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-0731
Practice Address - Country:US
Practice Address - Phone:353-376-6300
Practice Address - Fax:352-372-0661
Is Sole Proprietor?:No
Enumeration Date:2017-01-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05010976A225100000X
FLPT35984225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist