Doctor Name: | MS. LIZETTE JOSEFINA FAGUNDO |
NPI Number: | 1124139852 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | PT19177 |
Business Practice Address: | 2590 Sw 107th Ave Miami, FL - 331652400 |
Business Phone Number: | 3052267718 |
Business Fax Number: | 3052267941 |
Mailing Address: | 2590 Sw 107th Ave, MIAMI |
State: | FL |
Postal Code: | 331652400 |
Phone Number: | 3052267718 |
Fax Number: | 3052267941 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT19177 |
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 |