Provider Demographics
NPI:1659428290
Name:PASTRANA, NATALIA (PT)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:PASTRANA
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 1:676 BABLONICA DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32807-3351
Mailing Address - Country:US
Mailing Address - Phone:407-227-7247
Mailing Address - Fax:
Practice Address - Street 1:1000 W BROADWAY ST STE 200
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9277
Practice Address - Country:US
Practice Address - Phone:407-359-4166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT #22368225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist