Individual
THOMAS DEAZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
11252 SW 152ND PL, MIAMI, FL 33196-4369
(305) 388-7702
(305) 260-9764
Mailing address
5760 SW 11TH ST, WEST MIAMI, FL 33144-5108
(305) 215-8084
(305) 260-9764
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT-18830
FL
Other
Enumeration date
09/21/2006
Last updated
07/09/2007
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