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Individual

ANDREY GUINCHOMA PATANGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5900 W SAMPLE RD APT 304, CORAL SPRINGS, FL 33067-3268
(954) 242-8016
Mailing address
5900 W SAMPLE RD APT 304, CORAL SPRINGS, FL 33067-3268
(954) 242-8016

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
J1-0003646
DE
225100000X
Physical Therapist
Primary
PT33488
FL

Other

Enumeration date
03/15/2017
Last updated
05/08/2019
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