Luther Quitoriano Braganza, PT
Physical Therapist in Lady Lake, FL. Individual provider (NPI-1).
NPI number1003000381
StatusActive
Last updated in NPPESAug 30, 2007
Details
- NPI
- 1003000381
- Entity type
- Individual (NPI-1)
- Name
- Mr. Luther Quitoriano Braganza
- Credential
- PT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2007
- Last updated
- Aug 30, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT21044 | FL | Yes |
Practice location
134 N Old Dixie HwyLady Lake, FL 32159-4347
Phone 352-751-6627
Mailing address
10212 Granite CtLeesburg, FL 34788-3130
Phone 352-751-6627
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All 34 Physical Therapist providers in Lady Lake · All 651 providers in Lady Lake
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