Individual
JULIO ENRIQUE DEL VALLE GAYTAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4826 BONITA VISTA DR, TAMPA, FL 33634-6227
(813) 340-5092
Mailing address
4826 BONITA VISTA DR, TAMPA, FL 33634-6227
(813) 340-5092
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33089
FL
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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