Individual
JAIME VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
5137 SW 183RD AVE, MIRAMAR, FL 33029-6314
(754) 244-5052
(954) 342-0282
Mailing address
5137 SW 183RD AVE, MIRAMAR, FL 33029-6314
(754) 244-5052
(954) 342-0282
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 21678
FL
Other
Enumeration date
09/01/2016
Last updated
09/02/2016
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