Individual
JUDITH MOURINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MECHANO THERAPIST
Contact information
Practice address
9369 FOUNTAINBLEU BLVD, MIAMI, FL 33172
(786) 970-2542
(786) 275-4132
Mailing address
9369 FOUNTAINBLEAU BLVD, MIAMI, FL 33172-5686
(786) 970-2542
(786) 275-4132
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MA65381
FL
Other
Enumeration date
06/21/2012
Last updated
06/21/2012
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