Provider Demographics
NPI:1831625250
Name:SAA SANCHEZ, MADELIN (PTA)
Entity type:Individual
Prefix:MRS
First Name:MADELIN
Middle Name:
Last Name:SAA SANCHEZ
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 S DIXIE HWY APT 623
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33020-7321
Mailing Address - Country:US
Mailing Address - Phone:305-244-7448
Mailing Address - Fax:
Practice Address - Street 1:3143 NE 163RD ST
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-4463
Practice Address - Country:US
Practice Address - Phone:305-343-1365
Practice Address - Fax:305-705-2907
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA26980225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant