Provider Demographics
NPI:1194074401
Name:REMORCA, ISABELLE (PT, DPT, COMT)
Entity type:Individual
Prefix:
First Name:ISABELLE
Middle Name:
Last Name:REMORCA
Suffix:
Gender:F
Credentials:PT, DPT, COMT
Other - Prefix:
Other - First Name:ISABELLE
Other - Middle Name:
Other - Last Name:REMORCA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, COMT
Mailing Address - Street 1:2401 BAYSHORE BLVD
Mailing Address - Street 2:#306
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33629-7349
Mailing Address - Country:US
Mailing Address - Phone:848-448-1580
Mailing Address - Fax:
Practice Address - Street 1:2401 BAYSHORE BLVD
Practice Address - Street 2:#306
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-7349
Practice Address - Country:US
Practice Address - Phone:848-448-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-31
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305207477225100000X
FLPT28003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist