MRS. Jeanette Lynn De Miranda, P.T.A.

NPI #1831319573 in Davie, Florida

Provider Information

NPI Number: 1831319573
Entity Type: Individual
Name: MRS. Jeanette Lynn De Miranda, P.T.A.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: P.T.A.
Enumeration Date: Apr 26, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1 LAREDO PL
City: Davie
State: Florida
ZIP Code: 33324-5514
Phone: (954) 382-0286

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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