Provider Demographics
NPI:1740333798
Name:TALMADGE, DEBRA ANN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:DEBRA
Middle Name:ANN
Last Name:TALMADGE
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5023 SW 90TH AVE
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3622
Mailing Address - Country:US
Mailing Address - Phone:954-610-2214
Mailing Address - Fax:954-434-5663
Practice Address - Street 1:5023 SW 90TH AVE
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-3622
Practice Address - Country:US
Practice Address - Phone:954-610-2214
Practice Address - Fax:954-434-5663
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT11398174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist