Individual
ERIC MAGIN CANCHICA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
811 S ORLANDO AVE, WINTER PARK, FL 32789-7102
(407) 539-1792
Mailing address
811 S ORLANDO AVE, WINTER PARK, FL 32789-7102
(786) 521-9057
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA30389
FL
Other
Enumeration date
10/26/2020
Last updated
10/26/2020
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