Individual
GISSELLE MOLINA DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 S DOUGLAS RD, CORAL GABLES, FL 33134-4108
(305) 448-0146
Mailing address
26 NW 47TH AVE APT 206, MIAMI, FL 33126-5299
(786) 260-9270
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28028
FL
Other
Enumeration date
11/15/2017
Last updated
11/15/2017
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