Individual
MR. ESAU MOHAMED JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
7950 LAKE UNDERHILL RD, ORLANDO, FL 32822
(407) 658-2046
Mailing address
2815 RIPTON CT, ORLANDO, FL 32835-6147
(407) 529-5853
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA24560
FL
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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