Individual
BRYANT AVILES ENAJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPT
Contact information
Practice address
3201 W COMMERCIAL BLVD STE 116, FORT LAUDERDALE, FL 33309-3444
(954) 332-4445
(866) 422-6431
Mailing address
3201 W COMMERCIAL BLVD STE 116, FORT LAUDERDALE, FL 33309-3444
(954) 332-4445
(866) 422-6431
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
008792
CT
Other
Enumeration date
03/07/2011
Last updated
03/07/2011
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