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CLINTON ERASMUS PTA
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1518267541
Individual Registrant: CLINTON ERASMUS PTA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
4747 N OCEAN DRIVE SUITE 261 LAUDERDALE BY THE SEA, FL 33308-2956 US
Tel: 954-545-4922 Fax: 954-545-4923
Tel: 954-545-4922 Fax: 954-545-4923
Contact information for business:
4747 N OCEAN DRIVE SUITE 261 LAUDERDALE BY THE SEA, FL 33308-2956 US
Tel: 954-545-4922 Fax: 954-545-4923
Tel: 954-545-4922 Fax: 954-545-4923
Registration Information:
NPI: 1518267541
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | FL | PTA19828 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| LICENSE | PTA19828 | FL | 01 |
