Doctor Name: | MS. LOTTOYA JANIEL MANDERSON |
NPI Number: | 1053625707 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 23223 |
Business Practice Address: | 3962 Sw 188th Ave Miramar, FL - 330292723 |
Business Phone Number: | 9172042300 |
Business Fax Number: | |
Mailing Address: | 3962 Sw 188 Ave, MIRAMAR |
State: | FL |
Postal Code: | 33029 |
Phone Number: | 9172042300 |
Fax Number: | |
NPI Enumeration Date: | 08/04/2010 |
NPI Last Update Date: | 08/04/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 23223 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |