MANUEL VIDAL

HOMOSASSA, FL
NPI1063946655
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  PTA22890)
Enumeration Date2017-04-20
Last Update Date2017-04-20
Business Address
-- MANUEL VIDAL
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141
Mailing Address
-- MANUEL VIDAL
8477 S SUNCOAST BLVD
HOMOSASSA, FL 34446-5028
Phone number: 352-382-1141