PHYSICAL THERAPY AND WELLNESS CENTER
Physical Therapy at Madeira Ave, Miami, FL

License number
Florida PT15250
Category
Restorative Service Providers
Type
Physical Therapist
Owner
Name: MISS ANNA K TISCHENKO PT
Title: PRESIDENT
Phone: (305) 444-8775
Address
Address
183 Madeira Ave, Miami, FL 33134
National Provider ID: 1619006962
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PHYSICAL THERAPY AND WELLNESS CENTER, INC

Miami, FL

Registration:
Oct 31, 2003
Addresses:
5178 NW 103 Ave, Miami, FL 33178 (Physical)
183 Madeira Ave, Miami, FL 33134
1500 Monza Ave, Miami, FL 33146
State ID:
P03000123290
Business type:
Florida Profit Corporation
Secretary:
Anna K Tischenko (Secretary), 5178 NW 103 Ave, Miami, FL 33178 (Physical)
Agent:
Enrique Martin,C/O Hunton & Williams Llp, Miami, FL 33131 (Physical)
EIN:
20-0427340

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