| Doctor Name: | MS. AIMEE RENEE BISSONNETTE |
| NPI Number: | 1548401367 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | FL19094 |
| Business Practice Address: | 5301 N. Dixie Highway Suite 203 Michael T. Reilly & David H. Gilbert, Md, Pa Ft. Lauderdale, FL - 33334 |
| Business Phone Number: | 9547713334 |
| Business Fax Number: | 9547711069 |
| Mailing Address: | 5301 N Dixie Highway, Suite 203 FT. LAUDERDALE |
| State: | FL |
| Postal Code: | 33334 |
| Phone Number: | 9547710498 |
| Fax Number: | 9547711069 |
| NPI Enumeration Date: | 03/09/2009 |
| NPI Last Update Date: | 03/09/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | FL19094 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |