Individual
JUAN PABLO WILCHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
1081 NW 129TH AVE, MIAMI, FL 33182-2324
(305) 305-3240
Mailing address
1081 NW 129TH AVE, MIAMI, FL 33182-2324
(305) 305-3240
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29637
FL
Other
Enumeration date
08/29/2019
Last updated
08/29/2019
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