Individual
JOSE ARMANDO CISNEROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(386) 801-6208
Mailing address
1200 LEXINGTON GREEN LN, SANFORD, FL 32771-1013
(386) 801-6208
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28446
FL
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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