Individual
JASMINE IVY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17620 SW 32ND ST, MIRAMAR, FL 33029-5605
(954) 770-0525
Mailing address
17620 SW 32ND ST, MIRAMAR, FL 33029-5605
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA32510
FL
Other
Enumeration date
08/02/2025
Last updated
08/02/2025
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