Individual
CLAUDIO SANDOVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1057 S FLORIDA AVE # 8939, LAKELAND, FL 33803-1114
(863) 617-9400
(863) 688-9858
Mailing address
PO BOX 8939, LAKELAND, FL 33806-8939
(863) 617-9400
(863) 688-9858
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PT18257
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT18257
DEPARTMENT OF HEALTH
FL
Enumeration date
10/01/2021
Last updated
10/01/2021
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