Individual
LEANNIE GIRALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6775 SW 25TH TER, MIAMI, FL 33155-2905
(786) 518-9390
Mailing address
6775 SW 25TH TER, MIAMI, FL 33155-2905
(786) 518-9390
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA23741
FL
Other
Enumeration date
09/23/2015
Last updated
09/23/2015
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