Carlos Fabricio Boston, PTA

NPI #1073924049 in Lake City, Florida

Provider Information

NPI Number
1073924049
Entity Type
Individual
Name
Carlos Fabricio Boston, PTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physical Therapy Assistant
Credential
PTA
Enumeration Date
May 13, 2014
Last Updated
Feb 19, 2015

Practice Location

Address
146 SW ORTHOPEDIC CT
State
Florida
ZIP Code
32024-0672
Phone
(386) 755-9215

Specialties & Taxonomy Codes

Specialty
Physical Therapy Assistant

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