Provider Demographics
NPI:1366563058
Name:AUMICK, DONNA M
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:M
Last Name:AUMICK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8428 NW 14TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-6782
Mailing Address - Country:US
Mailing Address - Phone:954-655-3022
Mailing Address - Fax:954-796-4883
Practice Address - Street 1:8428 NW 14TH ST
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33071-6782
Practice Address - Country:US
Practice Address - Phone:954-655-3022
Practice Address - Fax:954-796-4883
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 18293225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist