Individual
ROBERT M VAZQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
909 SAGAMORE PKWY W STE 917, WEST LAFAYETTE, IN 47906-1443
(765) 463-0710
(765) 463-0711
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05014764A
IN
Other
Enumeration date
09/22/2022
Last updated
02/20/2024
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