Individual
MICHAEL LABRADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
11501 SW 40TH ST, MIAMI, FL 33165-3313
(305) 642-5366
Mailing address
8600 NW 41ST ST, DORAL, FL 33166-6202
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
12/18/2019
Last updated
12/18/2019
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