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Individual

ANGELA MARIE MARINEZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
4101 NW 4TH STREET, PLANTATION, FL 33317
(954) 583-8130
Mailing address
4101 NW 4TH ST, SUITE 305, PLANTATION, FL 33317
(954) 583-8130

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT 24885
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
887989300
FL
Enumeration date
10/21/2009
Last updated
07/19/2013
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