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Individual

PATRICIA HARRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
7600 RED RD, SUITE 131, SOUTH MIAMI, FL 33143-5428
(305) 665-0088
Mailing address
15340 SW 78TH PL, PALMETTO BAY, FL 33157-2367

Taxonomy

Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
25540
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25540
PHYSICAL THERAPY LICENSE NUMBER
FL
Enumeration date
06/18/2010
Last updated
06/18/2010
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