Individual
MICHAEL DAVID DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6842
Mailing address
16074 SW 150TH ST, MIAMI, FL 33196-6558
(305) 971-9214
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 8415
FL
Other
Enumeration date
11/28/2006
Last updated
07/08/2007
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