Individual
ANDY DENESTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7200 W COMMERCIAL BLVD, SUITE 203, LAUDERHILL, FL 33319-2148
(754) 300-9039
Mailing address
7200 W COMMERCIAL BLVD STE 203, LAUDERHILL, FL 33319-2148
(754) 300-9039
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25402
FL
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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