Individual
BENITA TERESA SEBASTIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
134 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 681-1627
Mailing address
134 E BLOOMINGDALE AVE, BRANDON, FL 33511-8101
(813) 716-0574
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT38150
FL
Other
Enumeration date
01/18/2022
Last updated
01/18/2022
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