Individual provider · Type 1 NPI
Lavanya Devatha
Pediatric Physical Therapist · Hollywood, FL
Practice location
1 Oakwood Blvd, #130
Hollywood, FL 33020-1956
Mailing address
5396 Broad St, Apt H
Milton, FL 32570-2239
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Physical Therapist Primary | 2251P0200X | PT32017 (FL) |
Pediatric Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical th…
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About NPI 1154869683
Lavanya Devatha's National Provider Identifier is 1154869683, issued on Feb 4, 2017. The primary taxonomy on file is Pediatric Physical Therapist (2251P0200X), and the practice location is in Hollywood, FL. The record was last updated on Feb 4, 2017.