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Individual

AMAL ATTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
5190 NW 167TH ST, SUITE 117, MIAMI LAKES, FL 33014-6328
(305) 517-3047
(305) 517-3523
Mailing address
12248 NW 49TH ST, CORAL SPRINGS, FL 33076-3466
(954) 682-2913

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
036955
NY
225100000X
Physical Therapist
Primary
PT29884
FL

Other

Enumeration date
08/04/2014
Last updated
01/29/2015
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