Individual
MISS KRYSTAL KALESHA HOSEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1601 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 243-6961
(305) 243-3155
Mailing address
20721 NW 34TH CT, MIAMI GARDENS, FL 33056-1211
(305) 562-9707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22107
FL
Other
Enumeration date
08/08/2011
Last updated
04/20/2021
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