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1902387202
MATT M MIRANDA
PHILADELPHIA, PA
NPI
1902387202
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: PA TE011900)
Enumeration Date
2018-08-24
Last Update Date
2018-08-24
Business Address
MATT M MIRANDA PTA
1919 CHESTNUT ST STE 104
PHILADELPHIA, PA 19103-3456
Phone number: 215-564-1110
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Mailing Address
MATT M MIRANDA PTA
805 N LAWRENCE ST
PHILADELPHIA, PA 19123-2109
Phone number: 609-332-3908
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