Provider Demographics
NPI:1174616809
Name:ABRAHAM, JANET CECILIA-RILEY (RPT)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:CECILIA-RILEY
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5001 CLEVELAND ST
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD HILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33021
Mailing Address - Country:US
Mailing Address - Phone:954-894-9199
Mailing Address - Fax:954-894-0547
Practice Address - Street 1:15327 NW 60TH AVE SUITE 203
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:305-826-7884
Practice Address - Fax:305-826-1545
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT6760225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist