Individual
MICHELLE R CUPERTINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4010 N OCEAN BLVD, 2ND FLOOR, FORT LAUDERDALE, FL 33308-6420
(561) 672-9615
(954) 241-6726
Mailing address
4010 N OCEAN BLVD, 2ND FLOOR, FORT LAUDERDALE, FL 33308-6420
(561) 672-9615
(954) 241-6726
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA23549
FL
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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