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Individual

MR. HEBERTO HERRADA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(403) 348-9919
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(403) 348-9919

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2138677
TX

Other

Enumeration date
08/17/2018
Last updated
08/17/2018
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