Individual
MADELINE C JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 IVES DAIRY RD APT 411, MIAMI, FL 33179-5483
(305) 978-1103
Mailing address
675 IVES DAIRY RD APT 411, MIAMI, FL 33179-5483
(305) 978-1103
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28460
FL
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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