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Individual

MARTA DE LA HORRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
15270 SW 104TH ST APT 1-21, MIAMI, FL 33196-3206
(305) 397-6665
Mailing address
15270 SW 104TH ST APT 1-21, MIAMI, FL 33196-3206
(305) 397-6665

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26961
FL

Other

Enumeration date
10/04/2016
Last updated
10/04/2016
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