Provider Demographics
NPI:1508206582
Name:PHYSIOTRAINING SERVICES INC
Entity type:Organization
Organization Name:PHYSIOTRAINING SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIANE
Authorized Official - Middle Name:SALDANHA
Authorized Official - Last Name:TIMOTEO
Authorized Official - Suffix:
Authorized Official - Credentials:PTA
Authorized Official - Phone:754-245-7842
Mailing Address - Street 1:1200 NW 99TH AVE
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33024-4350
Mailing Address - Country:US
Mailing Address - Phone:754-245-7842
Mailing Address - Fax:
Practice Address - Street 1:2240 SW 70TH AVE STE C1
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33317-7112
Practice Address - Country:US
Practice Address - Phone:754-581-1605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-05
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA 19117261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation