Individual
MRS. BARBARA EDEN DE OLIVEIRA SA LATYKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7033 COMMONWEALTH AVE STE 2, JACKSONVILLE, FL 32220-2831
(904) 378-3202
Mailing address
216 BERGEN ST APT 2, HARRISON, NJ 07029-2112
(862) 242-6039
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
40QA01806500
NJ
225100000X
Physical Therapist
Primary
PT35095
FL
Other
Enumeration date
10/01/2018
Last updated
12/16/2019
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