Provider Demographics
NPI:1437216454
Name:PARENTE, MICHELLE JOANNE (PT)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:JOANNE
Last Name:PARENTE
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 SE 4TH CT
Mailing Address - Street 2:
Mailing Address - City:DANIA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33004-4738
Mailing Address - Country:US
Mailing Address - Phone:954-925-7034
Mailing Address - Fax:954-925-7034
Practice Address - Street 1:550 SE 4TH CT
Practice Address - Street 2:
Practice Address - City:DANIA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33004-4738
Practice Address - Country:US
Practice Address - Phone:954-925-7034
Practice Address - Fax:954-925-7034
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT2678225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist