Individual
DR. JUAN SEBASTIAN VICTORIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 MACARTHUR BLVD, BUZZARDS BAY, MA 02532-3902
(508) 759-8880
Mailing address
4 HELEN ST, ELLENVILLE, NY 12428-2010
(845) 699-0632
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
046316
NY
225100000X
Physical Therapist
Primary
25775
MA
Other
Enumeration date
09/16/2020
Last updated
09/13/2021
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