Individual
DR. ISAIAH ELIJAH ASPRA REQUINTINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
6258 CR-453, PENSACOLA, FL 32505
(850) 904-4344
Mailing address
4624 CROSSINGS COURT, APT. 201, PACE, FL 32571
(903) 241-4840
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT39286
FL
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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