Alexis Madrazo, DPT | |
2466 Taylor St Apt 4c, Hollywood, FL 33020-4342 | |
(407) 883-4876 | |
Not Available |
Full Name | Alexis Madrazo |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 2466 Taylor St Apt 4c, Hollywood, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083419428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 40538 (Florida) | Primary |
Provider Name | Florida Rehability At Home, Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1932643780 PECOS PAC ID: 4183907280 Enrollment ID: O20170216000243 |
Mailing Address | Practice Location Address |
---|---|
Alexis Madrazo, DPT 2466 Taylor St Apt 4c, Hollywood, FL 33020-4342 Ph: () - | Alexis Madrazo, DPT 2466 Taylor St Apt 4c, Hollywood, FL 33020-4342 Ph: (407) 883-4876 |
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