Individual
LORETA BETANCOURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9929 PINES BLVD, PEMBROKE PINES, FL 33024-6175
(954) 437-8099
Mailing address
3532 SW 16TH ST, FORT LAUDERDALE, FL 33312-3520
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21396
FL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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