Annisah Pangandaman

NPI #1043623622 in Sunrise, Florida

Provider Information

NPI Number: 1043623622
Entity Type: Individual
Name: Annisah Pangandaman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Jun 11, 2014
Last Updated: Jun 11, 2014

Practice Location

Address: 1580 SAWGRASS CORPORATE PKWY
Address 2: SUITE 100
City: Sunrise
State: Florida
ZIP Code: 33323
Phone: (954) 332-4445

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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