Individual
MARIAM YOHANNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
9508 AMBERDALE CT, UNIT 101, RIVERVIEW, FL 33578-4172
(786) 223-9355
Mailing address
9508 AMBERDALE CT, UNIT 101, RIVERVIEW, FL 33578-4172
(786) 223-9355
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
13556
FL
Other
Enumeration date
09/13/2013
Last updated
09/13/2013
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