Individual
MRS. ANA MARIA FRAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
3117 SW 13TH CT, FT LAUDERDALE, FL 33312-2714
(954) 584-7178
Mailing address
11343 SW 69TH LN, MIAMI, FL 33173-1905
(305) 270-1456
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0001974
FL
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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