Individual
MS. MARIEL MALDONADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12170 CORTEZ BLVD, BROOKSVILLE, FL 34613-5578
(352) 597-5100
Mailing address
4488 MARINER BLVD, SPRING HILL, FL 34609-2228
(352) 556-9912
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24564
FL
Other
Enumeration date
02/08/2014
Last updated
02/08/2014
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