Individual
MR. DENNIS BORJA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
311 W KALSCHED ST, APT. 209, MARSHFIELD, WI 54449-1466
(715) 383-0102
Mailing address
311 W KALSCHED ST, APT. 209, MARSHFIELD, WI 54449-1466
(715) 383-0102
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
11134024
WI
Other
Enumeration date
05/14/2009
Last updated
05/14/2009
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