NIKKO TAN ANTIDO

MIAMI, FL
NPI1083398226
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  32769)
Enumeration Date2023-06-08
Last Update Date2023-06-08
Business Address
NIKKO TAN ANTIDO PTA
6812 SW 81ST ST
MIAMI, FL 33143-7708
Phone number: 305-905-4188
Mailing Address
NIKKO TAN ANTIDO PTA
1700 NE 105TH ST APT 306
MIAMI SHORES, FL 33138-2140
Phone number: 305-815-1168
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