Provider Demographics
NPI:1942432125
Name:MALCO, CLAUDIA BEATRIZ (PT)
Entity type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:BEATRIZ
Last Name:MALCO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CLAUDIA
Other - Middle Name:BEATRIZ
Other - Last Name:BRUGAT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:7160 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-2916
Mailing Address - Country:US
Mailing Address - Phone:954-721-3556
Mailing Address - Fax:
Practice Address - Street 1:7160 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-2916
Practice Address - Country:US
Practice Address - Phone:954-721-3556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-20
Last Update Date:2012-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24880225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist