Individual
MRS. KIM LAGUNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA, CLT
Contact information
Practice address
303 SW 6TH STREET, FORT LAUDERDALE, FL 33315
(754) 422-7316
Mailing address
14655 VIA TIVOLI CT, DAVIE, FL 33325-6917
(754) 422-7316
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
174400000X
FL
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
09/04/2024
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