| Doctor Name: | MS. MICHELLE SUSAN MARIE CRESENCIA |
| NPI Number: | 1528159506 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 22283 |
| Business Practice Address: | 10220 W Forest Hill Blvd Suite 140 Wellington, FL - 334149332 |
| Business Phone Number: | 5617535610 |
| Business Fax Number: | 5617958653 |
| Mailing Address: | 9873 Baywinds Drive, Suite - 5211 WEST PALM BEACH |
| State: | FL |
| Postal Code: | 33411 |
| Phone Number: | 5619060606 |
| Fax Number: | |
| NPI Enumeration Date: | 09/27/2006 |
| NPI Last Update Date: | 11/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 22283 |
| 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 |