Individual
MRS. NIDIA S DENIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.A.
Contact information
Practice address
1280 SW 1ST ST, SUITE 1, MIAMI, FL 33135-2450
(305) 649-5649
(305) 649-5650
Mailing address
1280 SW 1ST ST, SUITE 1, MIAMI, FL 33135-2450
(305) 649-5649
(305) 649-5650
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA1742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA1742
MQA
FL
Enumeration date
11/07/2006
Last updated
07/08/2007
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