Individual
JULIE SOPHIA VANAGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7975 17TH LN, VERO BEACH, FL 32966-2430
(772) 567-3228
Mailing address
278 GREENWAY AVE NE, PALM BAY, FL 32907-3079
(772) 567-3228
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
22255
FL
Other
Enumeration date
08/30/2010
Last updated
08/30/2010
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