Individual
MS. CONSUELO TIRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA, RPC, CNA
Contact information
Practice address
3601 BAY HEIGHTS WAY, TAMPA, FL 33611-1548
(813) 767-7768
Mailing address
3601 BAY HEIGHTS WAY, TAMPA, FL 33611-1548
(813) 767-7768
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA22432
FL
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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