Individual
KORI BAXTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14901 NE 20TH AVE, NORTH MIAMI, FL 33181-1121
(305) 433-0320
Mailing address
17530 NW 85TH AVE, HIALEAH, FL 33015-3506
(305) 775-0961
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29678
FL
Other
Enumeration date
03/23/2022
Last updated
03/23/2022
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