Provider Demographics
NPI:1780973669
Name:ROMNEY, ANNIE
Entity type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:ROMNEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8346 SW 37TH ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33155-3306
Mailing Address - Country:US
Mailing Address - Phone:305-222-2201
Mailing Address - Fax:
Practice Address - Street 1:2525 S.W. 75TH AVENUE
Practice Address - Street 2:SELECT WEST GABLES REHABILITATION HOSPITAL
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155
Practice Address - Country:US
Practice Address - Phone:305-260-1842
Practice Address - Fax:305-267-1841
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-31
Last Update Date:2011-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA11033225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant