Individual
MS. YESENIA URRUTIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
5901 SW 74TH ST, SOUTH MIAMI, FL 33143-5165
(305) 704-7910
(305) 235-8920
Mailing address
15021 SW 180TERR, MIAMI, FL 33187
(305) 238-5931
(305) 238-5787
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
225700000X
MASSAGE THERAPIST
FL
Enumeration date
09/30/2010
Last updated
09/30/2010
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