Basic Information
| Provider Information | |||||||||
| NPI: | 1538899125 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FERREIRA | ||||||||
| FirstName: | LYGIA | ||||||||
| MiddleName: | ALUX | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3713 CONROY RD APT 1922 | ||||||||
| Address2: | |||||||||
| City: | ORLANDO | ||||||||
| State: | FL | ||||||||
| PostalCode: | 328392484 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3219899928 | ||||||||
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| Practice Location | |||||||||
| Address1: | 1207 N CENTRAL AVE | ||||||||
| Address2: | |||||||||
| City: | KISSIMMEE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 347414407 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4078705959 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/15/2022 | ||||||||
| LastUpdateDate: | 06/15/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/15/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | PT38769 | FL | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
No ID Information.