Individual
EDGAR ALLAN LIWANAG BENUSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
1580 SAWGRASS CORPORATE PKWY STE 320, SUNRISE, FL 33323-2859
(954) 739-4247
Mailing address
1580 SAWGRASS CORPORATE PKWY STE 320, SUNRISE, FL 33323-2859
(432) 386-6623
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1353630
TX
Other
Enumeration date
10/27/2025
Last updated
10/27/2025
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