KENNETH BALLOQUI

HIALEAH, FL
NPI1700618428
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: FL  29864)
Enumeration Date2024-08-20
Last Update Date2024-08-20
Business Address
KENNETH BALLOQUI PTA
6284 E 5TH AVE
HIALEAH, FL 33013-1114
Phone number: 786-562-9787
Mailing Address
KENNETH BALLOQUI PTA
6284 E 5TH AVE
HIALEAH, FL 33013-1114
Phone number: 786-562-9787
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