Individual
ERNESALLEN CABRERA ROQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3860 SW 137TH AVE, MIAMI, FL 33175-6462
(305) 385-0168
Mailing address
3860 SW 137TH AVE, MIAMI, FL 33175-6462
(305) 385-0168
(305) 385-0182
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA26229
FL
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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