Individual
MRS. ENEIDA GUZMAN SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST R
Contact information
Practice address
4710 N HABANA AVE, SUITE 301, TAMPA, FL 33614-7161
(813) 871-5882
(813) 871-5884
Mailing address
PO BOX 161, BRANDON, FL 33509
(813) 871-5882
(813) 871-5884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10544
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888904000
—
FL
Enumeration date
02/15/2007
Last updated
09/02/2010
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