Individual
MARYS LAURA GUERRA DOMINGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2387 W 68TH ST, HIALEAH, FL 33016-6889
(786) 509-9397
Mailing address
2387 W 68TH ST, HIALEAH, FL 33016-6889
(786) 509-9397
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33969
FL
Other
Enumeration date
08/13/2025
Last updated
08/13/2025
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