Individual
LUIS RUBEN GUEVARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
3670 N 54TH AVE, HOLLYWOOD, FL 33021-2340
(305) 651-9311
(754) 201-1390
Mailing address
3670 N 54TH AVE, HOLLYWOOD, FL 33021-2340
(305) 651-9311
(754) 201-1390
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20139
FL
Other
Enumeration date
05/03/2014
Last updated
05/03/2014
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