Individual
CARLA MIRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
14291 SW 120TH ST STE 103, MIAMI, FL 33186-7287
(305) 385-0168
(305) 385-0182
Mailing address
14291 SW 120TH ST STE 103, MIAMI, FL 33186-7287
(305) 385-0168
(305) 385-0182
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25138
FL
Other
Enumeration date
08/22/2014
Last updated
08/22/2014
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