Individual
ANNEMAY LELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1400 NW 12TH AVE, PHYSICAL THERAPY DEPARTMENT, MIAMI, FL 33136-1003
(305) 689-5635
Mailing address
1400 NW 12TH AVE, PHYSICAL THERAPY DEPARTMENT, MIAMI, FL 33136-1003
(305) 689-5635
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT27924
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT27924
PT LICENSE
FL
Enumeration date
09/20/2013
Last updated
09/20/2013
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