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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY STEPHANIE ANDRADE, DPT

Active Sole Proprietor

Physical Therapy Assistant · PEMBROKE PINES, FL

Registration Details

NPI Number
1215519988
Provider Type
Individual
Gender
Female
NPI Issued
Apr 22, 2021 (5.0362919848111 yrs)
Last Updated
Sep 30, 2024
Licenses
PT032266 (PA)
13686 (MN)
045887 (NY)
PT41924 (FL)
Sole Proprietor
Yes

Practice Information

Address
17017 NW 11TH ST
PEMBROKE PINES, FL, 330282101
Browse FL providers · Browse ZIP 33028
Phone
9548027340
Primary Specialty
Physical Therapy Assistant
225100000X
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant
Additional Specialty
Physical Therapy Assistant

Other Physical Therapy Assistant Providers in PEMBROKE PINES, FL

Name Credential NPI
JOHN VADAKKAN PT 1700865078
ANNE HOLNESS PT 1487624524
SIMONE SPEYER D.P.T,A.P.,D.O.M 1669440046
VIVIAN MARMOLEJO PT 1215988407
MRS. ILEANA BRINIS-FERNANDEZ PT 1881649903
JOHANNA DUSSAN PT 1972550721
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.