Provider Demographics
NPI:1841780491
Name:PAHL PHYSICAL THERAPY & PILATES, P.A
Entity Type:Organization
Organization Name:PAHL PHYSICAL THERAPY & PILATES, P.A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:
Authorized Official - Last Name:PAHL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:305-397-7735
Mailing Address - Street 1:8267 S DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-7717
Mailing Address - Country:US
Mailing Address - Phone:305-297-6685
Mailing Address - Fax:
Practice Address - Street 1:8267 SOUTH DIXIE HIGHWAY
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143
Practice Address - Country:US
Practice Address - Phone:305-297-6685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-18
Last Update Date:2018-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT4011261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy