Most Relevant Information
Provider Data
| NPI Number: | 1003452210 |
| Provider Name: | SARAH MIRANDA PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA29687 |
Most Important Dates
| Enumeration Date: | 11/22/2019 |
| Last Updated: | 11/22/2019 |
Provider Practice Location
5458 TOWN CENTER RD
BOCA RATON
FL
334861089
Practice Location Phone/Fax
| Phone: | 5613762573 |
| Fax: |
Provider Mailing Location
4040 NW 4TH AVE
DEERFIELD BEACH
FL
330642619
Provider Mailing Phone/Fax
| Phone: | 9545513708 |
| Fax: |