Individual
MISS GAITRI PERSAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1191 E NEWPORT CENTER DR, PENT HOUSE J, DEERFIELD BEACH, FL 33442-7715
(954) 379-1066
Mailing address
403 NW 68TH AVE, #505, PLANTATION, FL 33317-7585
(954) 918-5344
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
PTA20424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA20424
PHYSICAL THERAPY ASSISTAN
FL
Enumeration date
05/22/2007
Last updated
07/08/2007
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