Provider Demographics
NPI:1376345405
Name:SERRANO HANKE, CAROLINA VIVIAN (PHYSIOTHERAPIST)
Entity type:Individual
Prefix:
First Name:CAROLINA
Middle Name:VIVIAN
Last Name:SERRANO HANKE
Suffix:
Gender:F
Credentials:PHYSIOTHERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5640 W ATLANTIC AVENUE, APT 107
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484
Mailing Address - Country:US
Mailing Address - Phone:561-927-7518
Mailing Address - Fax:
Practice Address - Street 1:5195 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8171
Practice Address - Country:US
Practice Address - Phone:561-637-7195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT42788225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist