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Estella Grace Viguilla

Physical Therapist in Sunrise, FL. Individual provider (NPI-1).

NPI number1982135646
StatusActive
Last updated in NPPESMar 24, 2017

Details

NPI
1982135646
Entity type
Individual (NPI-1)
Name
Estella Grace Viguilla
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 24, 2017
Last updated
Mar 24, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist070.021392ILYes

Practice location

1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859

Phone 954-632-0565

Mailing address

1580 Sawgrass Corporate Pkwy
Suite 100
Sunrise, FL 33323-2859

Phone 954-632-0565

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