Individual
MANUEL SOCORRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
9626 SW 146TH AVE, MIAMI, FL 33186-6917
(786) 715-3516
Mailing address
9626 SW 146TH AVE, MIAMI, FL 33186-6917
(786) 715-3516
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29361
FL
225700000X
Massage Therapist
MA64134
FL
Other
Enumeration date
09/12/2012
Last updated
11/12/2019
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