Individual
MS. PRISCILLA LYDIA COLLADO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
18465 S DIXIE HWY, CUTLER BAY, FL 33157-6815
(786) 293-6800
Mailing address
12110 SW 93RD ST, MIAMI, FL 33186-2072
(305) 632-7821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27866
FL
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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