Individual
AGNES COLEEN RAMOS SOPOCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4166 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952-9255
(941) 766-1110
Mailing address
4166 TAMIAMI TRL, SUITE A, PORT CHARLOTTE, FL 33952-9255
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT28760
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT28760
FLORIDA PHYSICAL THERAPY BOARD
FL
Enumeration date
03/04/2014
Last updated
03/04/2014
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