TAIESHA SHAKIMA LIDE

BOYNTON BEACH, FL
NPI1114596194
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA31003)
Enumeration Date2021-06-23
Last Update Date2021-06-23
Business Address
TAIESHA SHAKIMA LIDE PTA
6609 W WOOLBRIGHT RD STE 420
BOYNTON BEACH, FL 33437-0917
Phone number: 561-200-4262
Mailing Address
TAIESHA SHAKIMA LIDE PTA
6609 W WOOLBRIGHT RD STE 420
BOYNTON BEACH, FL 33437-0917
Phone number: 561-200-4262
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