Individual
MR. BOBBY CONCEPCION COUTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1635 W 44TH PL APT 507, HIALEAH, FL 33012-8414
(305) 322-7506
Mailing address
1635 WEST 44 PLACE #507, HIALEAH, FL 33012
(305) 322-7506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA 713
FL
Other
Enumeration date
10/25/2012
Last updated
03/31/2015
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