Individual
OMARI VASSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1834 ADVENTURE PL, NORTH LAUDERDALE, FL 33068-5436
(954) 856-7832
Mailing address
1834 ADVENTURE PL, NORTH LAUDERDALE, FL 33068-5436
(954) 856-7832
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28792
FL
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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