Doctor Name: | MS. LAUREN R VIVAS |
NPI Number: | 1104928027 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | PT18874 |
Business Practice Address: | 5599 N Dixie Hwy Oakland Park, FL - 333343406 |
Business Phone Number: | 9542297646 |
Business Fax Number: | |
Mailing Address: | 1615 Funston St, HOLLYWOOD |
State: | FL |
Postal Code: | 330206411 |
Phone Number: | 9549297275 |
Fax Number: | |
NPI Enumeration Date: | 09/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT18874 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
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 |