Individual
MRS. MIRANDA JANE ANZIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
6202 17TH AVE W, BRADENTON, FL 34209-7838
(941) 792-1404
(941) 761-0712
Mailing address
8000 SR 64 E, BRADENTON, FL 34212
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT27493
FL
Other
Enumeration date
09/27/2018
Last updated
05/26/2022
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