Organization
WANDA RIOS MORALES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA I RIOS MORALES PTA (PHYSICAL THERAPIST ASSISTANT)
(407) 968-3442
Entity
Organization
Contact information
Practice address
2275 FORTUNE RD, KISSIMMEE, FL 34744-4404
(407) 348-2060
Mailing address
803 SPRUCEWOOD LN, KISSIMMEE, FL 34743-9619
(407) 968-3442
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
PTA25800
FL
Other
Enumeration date
07/15/2016
Last updated
07/15/2016
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