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Individual

BARBARA LUZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1481 ACHILLES ST, PORT CHARLOTTE, FL 33980-1952
(786) 290-4272
Mailing address
1481 ACHILLES ST, PORT CHARLOTTE, FL 33980-1952
(786) 290-4272

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-22-246384
FL
225200000X
Physical Therapy Assistant
Primary
26431
FL

Other

Enumeration date
08/21/2016
Last updated
02/02/2023
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