Organization
ASO PHYSICAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UDUAK E DESTINE (PRESIDENT)
(954) 895-9291
Entity
Organization
Contact information
Practice address
21429 NW 13TH CT APT 215, MIAMI GARDENS, FL 33169-7413
(954) 895-9291
(305) 249-5477
Mailing address
21429 NW 13TH CT APT 215, MIAMI GARDENS, FL 33169-7413
(954) 895-9291
(305) 249-5477
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
10/26/2017
Last updated
10/26/2017
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