Individual
NATHANIEL MOLINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11543 LAKE UNDERHILL RD, ORLANDO, FL 32825-5001
(407) 380-0357
Mailing address
11543 LAKE UNDERHILL RD, ORLANDO, FL 32825-5001
(407) 380-0357
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29367
FL
Other
Enumeration date
05/09/2019
Last updated
05/12/2022
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