Mibsam Lissette Herrera, PTA
NPI #1033306964 in North Miami, Florida
Provider Information
- NPI Number
- 1033306964
- Entity Type
- Individual
- Name
- Mibsam Lissette Herrera, PTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Sep 25, 2007
- Last Updated
- Jul 23, 2008
Practice Location
- Address
- 1811 NE 146TH ST
- City
- North Miami
- State
- Florida
- ZIP Code
- 33181-1423
- Phone
- (305) 949-4191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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