Individual
MS. ANGELA KATHERINE OCAMPO LARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3201 W COMMERCIAL BLVD STE 116, FORT LAUDERDALE, FL 33309-3444
(954) 739-4247
Mailing address
16749 SW 16TH ST, PEMBROKE PINES, FL 33027-1416
(954) 431-4907
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
004574
IA
225100000X
Physical Therapist
Primary
032678
NY
Other
Enumeration date
06/07/2010
Last updated
06/07/2010
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