Provider Demographics
NPI:1649894155
Name:SHE PHYSICAL THERAPY, LLC
Entity type:Organization
Organization Name:SHE PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DELA CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:954-914-3044
Mailing Address - Street 1:5220 S UNIVERSITY DR # C209
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5317
Mailing Address - Country:US
Mailing Address - Phone:954-406-8998
Mailing Address - Fax:754-900-3098
Practice Address - Street 1:14702 VISTA LUNA DR
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33325-6926
Practice Address - Country:US
Practice Address - Phone:954-914-3044
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-31
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy