Provider Demographics
NPI:1619171949
Name:COBA, CLAUDIA (MPT)
Entity Type:Individual
Prefix:MS
First Name:CLAUDIA
Middle Name:
Last Name:COBA
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3880 COCONUT CREEK PKWY
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066-1652
Mailing Address - Country:US
Mailing Address - Phone:954-972-9208
Mailing Address - Fax:
Practice Address - Street 1:3880 COCONUT CREEK PKWY
Practice Address - Street 2:SUITE 303
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066-1652
Practice Address - Country:US
Practice Address - Phone:954-972-9208
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY084DOtherBCBS PROVIDER NUMBER
FLU5285AMedicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER