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Individual

MS. DAPHNE EILEEN ARDIZON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2619 SW 147TH AVE, MIAMI, FL 33185-5622
(305) 207-0602
Mailing address
3754 SW 156TH CT, MIAMI, FL 33185-4801
(305) 553-0585

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT23296
FL

Other

Enumeration date
05/30/2007
Last updated
07/08/2007
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