Individual
MITHRA CHRYSOSTOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 NW 93RD TER, MIAMI, FL 33147-3151
(786) 651-1710
Mailing address
1901 NW 93RD TER, MIAMI, FL 33147-3151
(786) 651-1710
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31987
FL
Other
Enumeration date
08/28/2024
Last updated
08/28/2024
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