Individual
LIANA LOSA QUINTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2564 W 72ND PL, HIALEAH, FL 33016-6507
(786) 334-3125
Mailing address
2564 W 72ND PL, HIALEAH, FL 33016-6507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30849
FL
Other
Enumeration date
03/28/2022
Last updated
03/28/2022
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