Provider Demographics
NPI:1740663087
Name:JAVIER, FLORAME P (PT)
Entity type:Individual
Prefix:MISS
First Name:FLORAME
Middle Name:P
Last Name:JAVIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 ASBURY SQ
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30346-2411
Mailing Address - Country:US
Mailing Address - Phone:404-578-8436
Mailing Address - Fax:
Practice Address - Street 1:1209 ASBURY SQ
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30346-2411
Practice Address - Country:US
Practice Address - Phone:404-578-8436
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-06
Last Update Date:2015-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAPT004163225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist