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Individual

ANN MORALES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
3670 N 54TH AVE, HOLLYWOOD, FL 33021-2340
(305) 651-9311
Mailing address
220 NW 87TH AVE APT K108, MIAMI, FL 33172-4520
(786) 641-0360

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30119
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PTA30119
FL
Enumeration date
05/23/2020
Last updated
05/23/2020
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