Most Relevant Information
Provider Data
| NPI Number: | 1003683830 |
| Provider Name: | TANIA FERTIL POLI |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | PTA33213 |
Most Important Dates
| Enumeration Date: | 12/12/2023 |
| Last Updated: | 12/12/2023 |
Provider Practice Location
15291 NW 60TH AVE STE 101
MIAMI LAKES
FL
330142459
Practice Location Phone/Fax
| Phone: | 3057057702 |
| Fax: |
Provider Mailing Location
15291 NW 60TH AVE STE 101
MIAMI LAKES
FL
330142459
Provider Mailing Phone/Fax
| Phone: | 3057057702 |
| Fax: |