Individual
AILEEN IRIS REYES MARIANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
1580 SAWGRASS CORPORATE PKWY, SUITE 100, SUNRISE, FL 33323-2859
(954) 332-4445
(866) 422-6431
Mailing address
1580 SAWGRASS CORPORATE PKWY, SUITE 100, SUNRISE, FL 33323-2859
(954) 332-4445
(866) 422-6431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
009312
CT
225100000X
Physical Therapist
Primary
1215873
TX
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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