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Individual

MISS RAQUEL B PUPO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
2520 N ORANGE AVE STE 100, ORLANDO, FL 32804-4638
(954) 740-2520
Mailing address
326 BAY RUN ST, ORLANDO, FL 32804-4006
(954) 740-2520

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
28777
FL

Other

Enumeration date
01/30/2019
Last updated
01/30/2019
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