| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ANA PAULA VIVIRA BRUDER MOULDER | 1538474499 | 2024-09-08 |
Ana Paula Bruder Moulder [F] graduated in 1998 and primarily specializes in Physical Therapy.
Ana Paula Vivira Bruder Moulder is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1538474499. Registration indicates Ana Paula Vivira Bruder Moulder is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Physical Therapist (Physical Therapist, ) (Speech/Occupational/Physical Therapy/Chiropractor, ) (Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| PECOS ID | 5294994992 |
| Entity Type | Individual |
| Provider Name | Ana Paula Vivira Bruder Moulder P.T. |
| Practice Office Address | 2012 N DONNELLY ST MOUNT DORA, FL US |
| Practice Office Telephone | 3527293565 |
| Practice Office Fax | 3527293564 |
| Mailing Address | PO BOX 1478 MOUNT DORA, FL 327561478 US |
| Business Telephone | 3527293565 |
| Business Fax | 3527293564 |
| Code | Practice | License No State |
|---|---|---|
| 225100000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist Physical Therapist Speech/Occupational/Physical Therapy/Chiropractor Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | PT016972
FL |