Individual
CAROLINA VASQUEZ GALLEGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8340 LAKEWOOD RANCH BLVD STE 100, LAKEWOOD RANCH, FL 34202-5183
(941) 792-1404
(941) 761-0712
Mailing address
6015 POINTE WEST BLVD, BRADENTON, FL 34209-5525
(941) 792-1404
(941) 761-0712
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT31663
FL
Other
Enumeration date
02/12/2019
Last updated
07/07/2021
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