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Individual

ANDY IBARRA OLIVA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
301 NORTHPOINT PKWY, WEST PALM BEACH, FL 33407-7904
(561) 712-1717
Mailing address
22863 NEPTUNE RD, BOCA RATON, FL 33428-5744
(561) 379-9849

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA28021
FL

Other

Enumeration date
07/12/2020
Last updated
07/12/2020
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