Individual
MR. MARIO A ESTRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
R.P.T.A
Contact information
Practice address
6412 W CLIFTON ST, TAMPA, FL 33634-5040
(813) 390-4098
Mailing address
6412 W CLIFTON ST, TAMPA, FL 33634-5040
(813) 390-4098
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA9265
FL
Other
Enumeration date
10/17/2006
Last updated
07/08/2007
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