MATT M MIRANDA

PHILADELPHIA, PA
NPI1902387202
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: PA  TE011900)
Enumeration Date2018-08-24
Last Update Date2018-08-24
Business Address
MATT M MIRANDA PTA
1919 CHESTNUT ST STE 104
PHILADELPHIA, PA 19103-3456
Phone number: 215-564-1110
Mailing Address
MATT M MIRANDA PTA
805 N LAWRENCE ST
PHILADELPHIA, PA 19123-2109
Phone number: 609-332-3908