ANTONIA M FAVACHO

CLEARWATER, FL
NPI1083980767
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  21770)
Enumeration Date2012-03-28
Last Update Date2012-03-28
Business Address
-- ANTONIA M FAVACHO PTA
430 MORTON PLANT ST
CLEARWATER, FL 33756-3398
Phone number: 727-841-8384
Mailing Address
-- ANTONIA M FAVACHO PTA
430 MORTON PLANT STREET
CLEARWATER, FL 33756-0000
Phone number: 727-841-8384
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