Provider Demographics
NPI:1386100626
Name:ORR, TAMARA SOSNICK (PT)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:SOSNICK
Last Name:ORR
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7829 NW 111TH WAY
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4709
Mailing Address - Country:US
Mailing Address - Phone:410-292-1924
Mailing Address - Fax:
Practice Address - Street 1:6018 SW 18TH ST STE C11
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-7166
Practice Address - Country:US
Practice Address - Phone:800-650-5289
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-12
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL327422251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics