Provider Demographics
NPI:1689629420
Name:TOMASZEWSKI, MICHELLE (PT, OT)
Entity type:Individual
Prefix:PROF
First Name:MICHELLE
Middle Name:
Last Name:TOMASZEWSKI
Suffix:
Gender:F
Credentials:PT, OT
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:
Other - Last Name:KOENIG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1731 E HALLANDALE BEACH BLVD
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33009-4621
Mailing Address - Country:US
Mailing Address - Phone:954-457-4108
Mailing Address - Fax:954-457-9554
Practice Address - Street 1:1731 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4621
Practice Address - Country:US
Practice Address - Phone:954-457-4108
Practice Address - Fax:954-457-9554
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA06993225100000X
FLPT25343225100000X
LA200099225X00000X
FLOT14636225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist