Individual
MRS. LISET GUZMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1140 W 49TH ST, HIALEAH, FL 33012-3323
(305) 558-1254
Mailing address
254 FLAGLER DR APT 3, MIAMI SPRINGS, FL 33166-4967
(786) 287-5630
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21968
FL
Other
Enumeration date
12/24/2009
Last updated
12/24/2009
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