RIVAZZELLY BASTARDO

HIALEAH, FL
NPI1770117202
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  Pta30057)
Enumeration Date2020-02-24
Last Update Date2020-02-24
Business Address
RIVAZZELLY BASTARDO PTA
900 W 49TH ST STE 332
HIALEAH, FL 33012-3489
Phone number: 786-879-5303
Mailing Address
RIVAZZELLY BASTARDO PTA
18965 NW 62ND AVE APT 212
HIALEAH, FL 33015-5057
Phone number: 786-901-0053
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