Individual
ODALYS FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
4620 FILLMORE STREET, HOLLYWOOD, FL 33021
(786) 251-7274
(754) 201-1390
Mailing address
1265 WEST 41 STREET #6, HIALEAH, FL 33012
(305) 335-9329
(305) 456-0502
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20109
FL
Other
Enumeration date
08/13/2012
Last updated
08/13/2012
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