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1396393542
ANNAMMA PALACKAMANNIL MATHEW
SUNRISE, FL
NPI
1396393542
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CT 11347)
Enumeration Date
2019-08-30
Last Update Date
2019-08-30
Business Address
ANNAMMA PALACKAMANNIL MATHEW PT
1580 SAWGRASS CORPORATE PKWY STE 200
SUNRISE, FL 33323-2869
Phone number: 954-317-1542
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Mailing Address
ANNAMMA PALACKAMANNIL MATHEW PT
12451 NW 15TH PL APT 17306
SUNRISE, FL 33323-5246
Phone number: 954-864-2063
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