Individual
ANIHERICA MORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
12595 SW 137TH AVE STE 104, MIAMI, FL 33186-4218
(786) 382-5024
Mailing address
12595 SW 137TH AVE STE 104, MIAMI, FL 33186-4218
(786) 382-5024
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA27209
FL
Other
Enumeration date
08/27/2018
Last updated
08/27/2018
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