Individual
MIRIAM CEBALLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
968 TRAMELLS TRL, KISSIMMEE, FL 34744-5419
(407) 348-0231
Mailing address
968 TRAMELLS TRL, KISSIMMEE, FL 34744-5419
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 157
FL
Other
Enumeration date
02/20/2014
Last updated
02/20/2014
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