Irina Detata is a Physical Therapist in Davie, Florida. Irina Detata practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Irina Detata is 1811095011. The last update date is 2016-11-22.
Irina Detata's current location address is 4331 Sw 73rd Ter, Davie, Florida. You can contact this provider via phone number 9544454745. The mailing address for Irina Detata is 4331 Sw 73rd Ter, Davie, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Irina Detata |
|---|---|
| Address | 4331 Sw 73rd Ter, Davie, Florida |
| Phone Number | 9544454745 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RPT |
NPI Number Detail
| NPI Number | 1811095011 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2016-11-22 |
Provider Mailing Address Detail
| Address | 4331 Sw 73rd Ter |
|---|---|
| City | Davie |
| State | Florida (FL) |
| Post Code | 333143030 |
| Phone Number | 9544454745 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | PT20047 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT20047 | FL | LICENSE NUMBER |
Post Comment/ Review Below
What is the Irina Detata's unique identification number?
The Irina Detata has been assigned the NPI (National Provider Identifier) Number 1811095011 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Irina Detata is physically located?
The Irina Detata is situated at the following address: 4331 Sw 73Rd Ter, Davie, FL 333143030.
What is the Irina Detata's area of specialization and corresponding taxonomy classification?
The Irina Detata's specialty field is Physical Therapist, and it falls under the taxonomy code 225100000X, which categorizes healthcare providers based on their specialties.
When did the Irina Detata receive its 1811095011?
The Irina Detata was issued its 1811095011 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the Irina Detata's details last updated?
The information pertaining to the Irina Detata, including its address, specialty, and other details, was most recently updated on 2016-11-22.