Individual
MADISON NICOLE SANTA MARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1705 17TH AVE, VERO BEACH, FL 32960-3641
(772) 562-6877
Mailing address
10426 SW STRATTON DR, PORT SAINT LUCIE, FL 34987-2318
(954) 647-8097
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33591
FL
Other
Enumeration date
07/12/2024
Last updated
07/12/2024
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