Provider Demographics
NPI:1154827723
Name:LOVERDE, LIGIA (PT)
Entity type:Individual
Prefix:
First Name:LIGIA
Middle Name:
Last Name:LOVERDE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LIGIA
Other - Middle Name:ESTHER
Other - Last Name:OREJARENA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:4252 PINE RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33331-5028
Mailing Address - Country:US
Mailing Address - Phone:954-937-0528
Mailing Address - Fax:
Practice Address - Street 1:4252 PINE RIDGE CT
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33331-5028
Practice Address - Country:US
Practice Address - Phone:954-937-0528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11767225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist