Individual
EDWARD VIANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5373 NW 64TH WAY, CORAL SPRINGS, FL 33067-2712
(954) 513-0275
Mailing address
5373 NW 64TH WAY, CORAL SPRINGS, FL 33067-2712
(954) 513-0275
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA21834
FL
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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