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NIKENDA ALISME

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
16110 MAHOGANY DR, BOYNTON BEACH, FL 33436-7610
(561) 891-3161
Mailing address
16110 MAHOGANY DR, BOYNTON BEACH, FL 33436-7610
(561) 891-3161

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31784
FL

Other

Enumeration date
02/22/2022
Last updated
02/22/2022
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