Individual
AILYN MIRANDA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
87 BELLS OF IRELAND CT, HOMOSASSA, FL 34446-5815
(443) 839-6349
Mailing address
87 BELLS OF IRELAND CT, HOMOSASSA, FL 34446-5815
(443) 839-6349
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24490
FL
Other
Enumeration date
02/06/2009
Last updated
02/06/2009
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