Dimas Wongsopawiro, PTA
NPI #1093441271 in North Miami Beach, Florida
Provider Information
- NPI Number
- 1093441271
- Entity Type
- Individual
- Name
- Dimas Wongsopawiro, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Jul 28, 2022
- Last Updated
- Jul 28, 2022
Practice Location
- Address
- 540 NE 162ND ST
- State
- Florida
- ZIP Code
- 33162-4357
- Phone
- (305) 450-4557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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