Individual
JAGODA SIEMBIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
800 NW 95TH ST, MIAMI, FL 33150-2032
(305) 836-1550
Mailing address
878 SPRUCE ST, LAWRENCEVILLE, NJ 08648-4530
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
40QB00317100
NJ
225200000X
Physical Therapy Assistant
Primary
PTA25604
FL
Other
Enumeration date
03/16/2015
Last updated
03/16/2015
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