Individual
JONATHAN ALPHANSO NICHOLAS YING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA,LMT
Contact information
Practice address
10031 PINES BLVD STE 216, PEMBROKE PINES, FL 33024-6169
(954) 305-5001
Mailing address
9831 NOB HILL LN, SUNRISE, FL 33351-4645
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32277
FL
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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