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NPI Code Detail

MEDICARE: YANET Y GUZMAN PTA

MEDICARE: YANET Y GUZMAN PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantPTA32985FL

General Provider Information

NPI Number : 1841078920
Entity Type Code : Individual
Provider Name (Legal Business Name) : YANET Y GUZMAN PTA
Provider Business Mailing Address
First Line : 5118 NW RUGBY DR
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34983-3376
Country : US
Telephone Number : 772-882-2678
Fax Number :
Provider Business Practice Location Address
First Line : 3955 INDIAN RIVER BLVD
Second Line :
City : VERO BEACH
State : FL
Zip : 32960-4814
Country : US
Telephone Number : 772-617-0580
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2023
Last Update Date : 09/19/2023

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Directions to “ YANET Y GUZMAN PTA” Practice Location

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