Antonia M Favacho, PTA
NPI #1083980767 in Clearwater, Florida
Provider Information
- NPI Number
- 1083980767
- Entity Type
- Individual
- Name
- Antonia M Favacho, PTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapy Assistant
- Credential
- PTA
- Enumeration Date
- Mar 28, 2012
- Last Updated
- Mar 28, 2012
Practice Location
- Address
- 430 MORTON PLANT ST
- City
- Clearwater
- State
- Florida
- ZIP Code
- 33756-3398
- Phone
- (727) 841-8384
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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