JUAN SEBASTIAN VIVIESCAS

MIAMI, FL
NPI1457189318
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence:   PTA33629)
Enumeration Date2024-07-23
Last Update Date2024-07-23
Business Address
JUAN SEBASTIAN VIVIESCAS PTA
6812 SW 81ST ST
MIAMI, FL 33143-7708
Phone number: 305-905-4188
Mailing Address
JUAN SEBASTIAN VIVIESCAS PTA
6812 SW 81ST ST
MIAMI, FL 33143-7708
Phone number: 305-905-4188