BRENDA LEE KOONCE

MIAMI, FL
NPI1679825350
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTAT23647)
Enumeration Date2012-10-05
Last Update Date2012-10-05
Business Address
-- BRENDA LEE KOONCE PTA
14291 SW 120TH ST STE 103
MIAMI, FL 33186-7287
Phone number: 305-385-0168
Mailing Address
-- BRENDA LEE KOONCE PTA
14291 SW 120TH ST STE 103
MIAMI, FL 33186-7287
Phone number: 305-385-0168