Individual
RYAN DAMIAN MENDOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11750 CANAL ST UNIT 203, MIRAMAR, FL 33025-7823
(954) 918-4246
Mailing address
3816 SW 167TH TER, MIRAMAR, FL 33027-4646
(954) 918-4246
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31676
FL
Other
Enumeration date
02/08/2025
Last updated
02/08/2025
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