Yudelkis Canciobello PTA

NPI 1992106447 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1992106447
Gender Female
Enumeration Date 09/15/2014
Last Updated 09/15/2014
Entity Type Individual
Active Over 4 years ago
Practice Location
11715 SW 123RD AVE
MIAMI FL, 33186-5046, US
Phone (786) 339-1438
Fax
Business Location
11715 SW 123RD AVE
MIAMI FL, 33186-5046, US
Phone (786) 339-1438
Fax
Toxanomy
Taxonomy Code 225200000X
License State
License Number
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According to our database, Yudelkis Canciobello PTA NPI is 1992106447, taxonomy code is 225200000X Yudelkis Canciobello PTA physically located at 11715 Sw 123rd Ave, Miami FL, 33186-5046. NPI Number Yudelkis Canciobello PTA has the Individual type.

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1992106447 NPI number is provided on an as is basis without warranty of any kind. 1992106447 is maintained by the National Plan & Provider Enumeration System. The contents of Yudelkis Canciobello PTA are for informational purposes only.