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Individual

MS. MARIELA MOLINA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICAL THERAPY AST

Contact information

Practice address
3705 W 20TH AVE STE 125, HIALEAH, FL 33012-4531
(305) 557-4424
Mailing address
3705 W 20TH AVE STE 125, HIALEAH, FL 33012-4531
(305) 557-4424

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23715
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA23715
PHYSICAL THERAPY ASSISTANT
FL
Enumeration date
12/05/2017
Last updated
12/05/2017
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