Individual
FRANK ALEJANDRO LICEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8065 SW 107TH AVE APT 307, MIAMI, FL 33173-4880
(786) 479-5537
Mailing address
8065 SW 107TH AVE APT 307, MIAMI, FL 33173-4880
(786) 479-5537
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
01/27/2022
Last updated
01/27/2022
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