Broward Manual Rehab INC

NPI #1710106190 in Tamarac, Florida

Provider Information

NPI Number: 1710106190
Entity Type: Organization
Organization Name: Broward Manual Rehab INC
Primary Specialty: Physical Therapist
Enumeration Date: Apr 24, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 4959 N STATE ROAD 7
Address 2: STE D
City: Tamarac
State: Florida
ZIP Code: 33319-5871
Phone: (954) 717-1983

Authorized Official

Name: DIMITRI COSMIOS, P.T.
Title: PRESIDENT
Phone: (954) 717-1983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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