Provider Demographics
NPI:1801166921
Name:LIENDO-TORRES, ALEJANDRA (PT)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:LIENDO-TORRES
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 1:16160 LA COSTA DR
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1421
Mailing Address - Country:US
Mailing Address - Phone:954-654-4190
Mailing Address - Fax:
Practice Address - Street 1:16160 LA COSTA DR
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1421
Practice Address - Country:US
Practice Address - Phone:954-654-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16420225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist