IVAN QUIBETE BAJALA

NEW PORT RICHEY, FL
NPI1144987686
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: FL  16346)
Enumeration Date2021-11-18
Last Update Date2021-11-18
Business Address
IVAN QUIBETE BAJALA PT, DPT
11523 OXCROFT CT
NEW PORT RICHEY, FL 34654-4666
Phone number: 727-457-5969
Mailing Address
IVAN QUIBETE BAJALA PT, DPT
11523 OXCROFT CT
NEW PORT RICHEY, FL 34654-4666
Phone number: 727-457-5969