Ismael Vazquez Cisneros
Physical Therapy Assistant in Lake Placid, FL. Individual provider (NPI-1).
NPI number1699574665
StatusActive
Last updated in NPPESMar 11, 2025
Details
- NPI
- 1699574665
- Entity type
- Individual (NPI-1)
- Name
- Ismael Vazquez Cisneros
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 11, 2025
- Certification date
- Mar 11, 2025
- Last updated
- Mar 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225200000X | Physical Therapy Assistant | PTA29705 | FL | Yes |
Practice location
1297 Us 27 NLake Placid, FL 33852-7907
Phone 863-465-0568
Mailing address
1297 Us 27 NLake Placid, FL 33852-7907
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Other Physical Therapy Assistant providers in Lake Placid, FL
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- Stephanie SeidlNPI 1104479682
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All 12 Physical Therapy Assistant providers in Lake Placid · All 232 providers in Lake Placid
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