Individual
AMELIA LAZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8491 NW 17TH ST, DORAL, FL 33126-1025
(305) 456-5542
Mailing address
4677 NW 9TH ST APT 204, MIAMI, FL 33126-2325
(305) 587-6813
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
33496
FL
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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