Most Relevant Information
Provider Data
| NPI Number: | 1003029604 |
| Provider Name: | ROSANNA P CORVALAN PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA 20781 |
Most Important Dates
| Enumeration Date: | 05/08/2007 |
| Last Updated: | 10/16/2012 |
Provider Practice Location
9714 SW 148TH CT
MIAMI
FL
331961616
Practice Location Phone/Fax
| Phone: | 3057751323 |
| Fax: |
Provider Mailing Location
9714 SW 148TH CT
MIAMI
FL
331961616
Provider Mailing Phone/Fax
| Phone: | 3053885712 |
| Fax: |