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Individual

MS. PAMELA JO HENRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1951 SW 172ND AVE, SUITE 115, MIRAMAR, FL 33029-5593
(954) 447-2426
(954) 447-2695
Mailing address
1951 SW 172ND AVE, SUITE 115, MIRAMAR, FL 33029-5593
(954) 447-2426
(954) 447-2695

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2286
FL

Other

Enumeration date
01/24/2012
Last updated
01/24/2012
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