Individual
JUAN SEBASTIAN VIVIESCAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6812 SW 81ST ST, MIAMI, FL 33143-7708
(305) 905-4188
Mailing address
6812 SW 81ST ST, MIAMI, FL 33143-7708
(305) 905-4188
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA33629
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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