Provider Demographics
NPI:1851066559
Name:PRESSER, DEAN ADAM (, PT, DPT)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:ADAM
Last Name:PRESSER
Suffix:
Gender:M
Credentials:, PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10880 NW 12TH PL
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-6991
Mailing Address - Country:US
Mailing Address - Phone:954-551-2913
Mailing Address - Fax:
Practice Address - Street 1:162 NE 25TH ST STE 103
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33137-4852
Practice Address - Country:US
Practice Address - Phone:305-735-8901
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTT375502251S0007X
FLPT375502251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports