Individual
KYRENIA MAQUEIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8871 FONTAINEBLEAU BLVD APT 504, MIAMI, FL 33172-4468
(386) 466-5625
(786) 615-6754
Mailing address
8871 FONTAINEBLEAU BLVD APT 504, MIAMI, FL 33172-4468
(386) 466-5625
(786) 615-6754
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27151
FL
Other
Enumeration date
10/13/2018
Last updated
10/13/2018
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