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Individual

DANIELLE MENDOZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12315 PEMBROKE RD, PEMBROKE PINES, FL 33025-1723
(954) 435-5300
Mailing address
12315 PEMBROKE RD, PEMBROKE PINES, FL 33025-1723
(954) 435-5300

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
14130
TN
225100000X
Physical Therapist
Primary
PT40454
FL
2251X0800X
Orthopedic Physical Therapist
14130
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
Q072667
TN
Enumeration date
03/10/2022
Last updated
07/03/2024
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