Individual
LEAH VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
6862 NW 169TH ST, HIALEAH, FL 33015-4210
(386) 864-1338
Mailing address
1322 N 30TH CT, HOLLYWOOD, FL 33021-5000
(386) 864-1338
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29631
FL
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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