Individual
CANDELARIA PATERNINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1435 W 49TH PL STE 301, HIALEAH, FL 33012-3147
(305) 392-1216
(305) 513-5130
Mailing address
1435 W 49TH PL STE 301, HIALEAH, FL 33012-3147
(305) 392-1216
(305) 513-5130
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT10321
PT LICENSE
FL
Enumeration date
09/01/2016
Last updated
09/12/2019
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