Basic Information
| Provider Information | |||||||||
| NPI: | 1043320575 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AIME | ||||||||
| FirstName: | ESAIE | ||||||||
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| NamePrefix: | MR. | ||||||||
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| Credential: | PT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 405 NE 191ST ST | ||||||||
| Address2: | # 102 | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331793918 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3059797963 | ||||||||
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| Practice Location | |||||||||
| Address1: | 171 WESTWARD DR | ||||||||
| Address2: | |||||||||
| City: | MIAMI SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331665257 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3058880106 | ||||||||
| FaxNumber: | 3058882594 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/30/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PT 21959 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.