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Individual

MRS. ROSE MARIE M FALCONER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA/L

Contact information

Practice address
5725 NW 186TH ST, HIALEAH, FL 33015-6019
(305) 625-9857
Mailing address
1250 SW 113TH TER, APT 103, PEMBROKE PINES, FL 33025-4356
(954) 479-2887

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA19545
FL

Other

Enumeration date
11/05/2018
Last updated
11/05/2018
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