Individual
LISETTE SAN MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
13500 SW 88TH ST, SUITE 171, MIAMI, FL 33186-1515
(305) 408-7353
Mailing address
7661 NW 3RD ST, MIAMI, FL 33126-4109
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21495
FL
Other
Enumeration date
06/16/2010
Last updated
06/16/2010
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