Provider Demographics
NPI:1689629420
Name:TOMASZEWSKI, MICHELLE (PT, OT)
Entity Type:Individual
Prefix:PROF
First Name:MICHELLE
Middle Name:
Last Name:TOMASZEWSKI
Suffix:
Gender:F
Credentials:PT, OT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:KOENIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20295 NE 29TH PL
Mailing Address - Street 2:301
Mailing Address - City:AVENTURA
Mailing Address - State:FL
Mailing Address - Zip Code:33180-4109
Mailing Address - Country:US
Mailing Address - Phone:305-935-4551
Mailing Address - Fax:305-935-9274
Practice Address - Street 1:20295 NE 29TH PL
Practice Address - Street 2:301
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-4109
Practice Address - Country:US
Practice Address - Phone:305-935-4551
Practice Address - Fax:305-935-9274
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2015-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06993225100000X
LA200099225X00000X
FL14636225X00000X
FL25343225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist