Individual
ANDREA NOGUERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
5400 S UNIVERSITY DR STE 215A, DAVIE, FL 33328-5310
(786) 512-4836
Mailing address
PO BOX 222393, HOLLYWOOD, FL 33022-2393
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
23141
FL
Other
Enumeration date
11/04/2019
Last updated
11/04/2019
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