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Eric Vazquez, PTA

Physical Therapy Assistant in Kissimmee, FL. Individual provider (NPI-1).

NPI number1669944302
StatusActive
Last updated in NPPESDec 19, 2018

Details

NPI
1669944302
Entity type
Individual (NPI-1)
Name
Eric Vazquez
Credential
PTA
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 19, 2018
Last updated
Dec 19, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225200000X Physical Therapy Assistant29008FLYes

Practice location

1207 N Central Ave
Kissimmee, FL 34741-4407

Phone 407-508-7802

Mailing address

3702 Crossing Creek Blvd
Saint Cloud, FL 34772-7023

Phone 407-340-1927

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