Individual
EARL NOTTAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
2115 SW 8TH ST, MIAMI, FL 33135-3319
(305) 649-4616
(305) 649-3601
Mailing address
10825 SW 152ND TER, MIAMI, FL 33157-1356
(305) 799-8865
(305) 649-3601
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT A011446
FL
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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