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1407094352
MIRIAM C MADRID
CORPUS CHRISTI, TX
NPI
1407094352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1072486)
Enumeration Date
2009-01-30
Last Update Date
2009-01-30
Business Address
-- MIRIAM C MADRID PT
5813 ESPLANADE DR
CORPUS CHRISTI, TX 78414-4113
Phone number: 361-991-9600
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Mailing Address
-- MIRIAM C MADRID PT
2222 SULLIVAN TRL
EASTON, PA 18040-7958
Phone number: 800-944-9782
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DYNAMIC EVALUATION CENTER OF SOUTH TEXAS, LLC