Individual
SANDRA ARLENNE LLOSA PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4850 W OAKLAND PARK BLVD, SUITE 201, LAUDERDALE LAKES, FL 33313-7260
(954) 735-3535
(954) 484-7000
Mailing address
3615 NE 167TH ST, APT 205, NORTH MIAMI BEACH, FL 33160-5103
(305) 922-9899
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
27216
FL
Other
Enumeration date
03/12/2017
Last updated
03/12/2017
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